Max Mitchell Downey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

979DT Issued in KY

Practice address

301 Burkesville St
Columbia, KY 42728-1921

Phone

(270) 384-6043

Fax

(270) 384-0672

NPI assigned

Aug 9, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Danville Eye Center, PLLC

  • Optometrist
  • Danville, KY
  • NPI 1619019213
  Medicare reassignment NPD

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1689675159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BURKESVILLE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281921",
            "telephone_number": "270-384-6043",
            "fax_number": "270-384-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BURKESVILLE ST",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427281921",
            "telephone_number": "270-384-6043",
            "fax_number": "270-384-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNEY",
        "first_name": "MAX",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "979DT",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "KY979DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1841253424",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009793",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JURISDICTION B DMEMAC",
            "identifier": "0738910001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77904126",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hayley Olivia Dettlinger, RN
• Christopher Todd Doolin, FNP-BC
• Patricia L Doolin, APRN, FNP-C
• Down to Earth Professional Counseling
• Downey Eye Clinic, PLLC (Downey Eye Clinic)
• Dr. Phil Aaron Medical Center, PLLC
• Joan Carol Dulworth, L.M.T.
• Tonya Dunn, LPCC
• Jason Durbin
• Pearl Dykes

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.