Mayfield Family Eyecare, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1864DT Issued in KY

Legal business name

MAYFIELD FAMILY EYECARE, LLC

Practice address

107 W Broadway
Mayfield, KY 42066

Phone

(270) 247-5532

Fax

(270) 247-0245

NPI assigned

Mar 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Bugg, O.D.NPI 1932497690

Title

Owner/Doctor

Phone

(270) 247-5532

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

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

• Kelly Smiley Bugg, O.D.

  • Optometrist
  • Mayfield, KY
  • NPI 1932497690
  Medicare reassignment Care Compare group Authorized official
• Lindsey Brooke McCallon, OD

  • Optometrist
  • Auburn, AL
  • NPI 1760158257

  KY

  Medicare reassignment Care Compare group
• Robert F Hailey, DPM

  • Podiatrist
  • Mayfield, KY
  • NPI 1720180060
  NPD (past)

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1649546953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 6TH ST",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662309",
            "telephone_number": "270-247-5532",
            "fax_number": "270-247-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W BROADWAY",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "42066",
            "telephone_number": "270-247-5532",
            "fax_number": "270-247-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 W Broadway",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420662213",
            "country_code": "US",
            "telephone_number": "270-247-5532",
            "fax_number": "270-247-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAYFIELD FAMILY EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "BUGG",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "270-247-5532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1864DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Brown Mason, RN
• Amanda Massey, CRNA
• Matthew S. Milliner, DMD, PLLC (Mayfield Orthodontics)
• Mayfield Chiropractic Wellness Center,PLLC
• Mayfield Family Dentistry
• Mayfield Independent Schools
• Mayfield Ky Opco LLC
• Mayfield Middle School Clinic
• Mayfield Pathology Services PSC
• Mayfield Pediatric Clinic PLLC (Mayfield Medical Center)

• Optometrist in Mayfield, KY
• Providers in Mayfield, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2018; 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.