Organization Active NPI

Bluegrass Family Vision PLLC

  • Optometrist
  • Nicholasville, KY
National Provider Identifier
1649518358
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1550 Issued in KY
Legal business name
BLUEGRASS FAMILY VISION PLLC
Practice address
181 E Brannon Rd
Nicholasville, KY 40356-8060
Phone
(859) 971-2211
NPI assigned
Jan 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Steven Christopher Mayes, O.D.NPI 1770625634
Title
Optometrist
Phone
(859) 583-5957

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1550 KY Primary

Addresses

Primary practice location

181 E Brannon Rd
Nicholasville, KY 40356-8060

Mailing address

181 E Brannon Rd
Nicholasville, KY 40356-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130426000244 KY Part B Supplier - Clinic/Group Practice 4385880939 Receives reassigned benefits from 1 practitioner
Practice locations: Nicholasville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1649518358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 E BRANNON RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 E BRANNON RD",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568060",
            "telephone_number": "859-971-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS FAMILY VISION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "859-583-5957",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.