Organization Active NPI

Eyemax Regional PLLC

Doing business as Eyemax Regional

  • Optometrist
  • Lexington, KY
National Provider Identifier
1659156677
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYEMAX REGIONAL PLLC
Doing business as
Eyemax Regional
Practice address
3070 Harrodsburg Rd Ste 130
Telehealth Only
Lexington, KY 40503-2764
Phone
(859) 787-0936
Fax
(859) 201-1207
NPI assigned
Aug 28, 2023
Last updated
Aug 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Authorized official

Name
Kari Carpenter Mattson, OD
Title
Owner/Manager
Phone
(859) 787-0936

Specialties & licenses 1

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

Addresses

Primary practice location

3070 Harrodsburg Rd Ste 130
Telehealth Only
Lexington, KY 40503-2764

Mailing address

3070 Harrodsburg Rd Ste 130
Lexington, KY 40503-2764
Phone (859) 787-0936

Other names 1

  • EYEMAX REGIONAL Doing business as

National Provider Directory

National Provider Directory

Locations

3070 Harrodsburg Rd
Ste 130
Lexington, KY 40503
Phone (859) 312-2793

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1659156677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 HARRODSBURG RD STE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032764",
            "telephone_number": "859-787-0936",
            "fax_number": "859-201-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 HARRODSBURG RD STE 130",
            "address_2": "TELEHEALTH ONLY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032764",
            "telephone_number": "859-787-0936",
            "fax_number": "859-201-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMAX REGIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "CARPENTER MATTSON",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "859-787-0936",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEMAX REGIONAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.