Individual provider Active NPI

Mary Kathleen Hutton, OD

  • Optometrist
  • Elkton, MD
National Provider Identifier
1598847923
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0819 Issued in MD
Practice address
304 N St
Ste 1
Elkton, MD 21922-0446
Phone
(410) 398-2112
Fax
(410) 620-0047
NPI assigned
Oct 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0819 MD Primary

Addresses

Primary practice location

304 N St
Ste 1
Elkton, MD 21922-0446

Mailing address

304 N St
Ste 1
Elkton, MD 21922-0446
Phone (410) 398-2112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000100 MD Practitioner - Optometry 7315063229 Reassigns benefits to 1 organization
Practice locations: Elkton, MD

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Simon Eye Associates PAGroup PAC ID 4082684089, 35 clinicians

Practice addresses (Care Compare)

304 N St
Suite 1
Elkton, MD 21921-5570
Phone (302) 239-1933

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simon Eye Associates PA Optometrist CurrentSince Jan 1, 2026 Accepting new patients

Locations

5301 Limestone Rd
Ste 128
Wilmington, DE 19808

304 North St
Ste 1
Elkton, MD 21921
Phone (410) 398-2112

Interoperability endpoints

  • Direct secure messaging: mkhh@cecilvisioncare.eyeclinicdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598847923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N ST",
            "address_2": "STE 1",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220446",
            "telephone_number": "410-398-2112",
            "fax_number": "410-620-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N ST",
            "address_2": "STE 1",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220446",
            "telephone_number": "410-398-2112",
            "fax_number": "410-620-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.