Individual provider Active NPI

Angela M Scifres, O.D.

  • Optometrist
  • Cynthiana, KY
National Provider Identifier
1740208941
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1671DT Issued in KY
Practice address
308 N Main St
Cynthiana, KY 41031-1210
Phone
(859) 234-1424
Fax
(859) 234-5463
NPI assigned
Jul 17, 2006
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1671DT KY Primary

Addresses

Primary practice location

308 N Main St
Cynthiana, KY 41031-1210

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

1543 Main St
Paris, KY 40361-1203
Phone (859) 987-7077

Other identifiers 1

IdentifierTypeStateIssuer
77001592MedicaidKY

Other names 1

  • Angela Todd Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061108000349 KY Practitioner - Optometry 8820095631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

308 N Main St
Cynthiana, KY 41031-1210
Phone (859) 234-1424

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1671DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Oct 29, 2023 Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Dec 6, 2021 Accepting new patients
Myeyedr Optometry of Kentucky, PLLC Optometrist CurrentSince Dec 6, 2021 Accepting new patients
Kentucky Institute for Eye Health & Surgery Past Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist Past Accepting new patients

Locations

308 N Main St
Cynthiana, KY 41031
Phone (606) 759-7883

142 Pavilion Pkwy
Newport, KY 41071
Phone (859) 291-9464

1543 Main St
Paris, KY 40361
Phone (859) 987-7017

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: ascifres023618@myeyedr.emadirect.md

Organizations & group practices 6

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1740208941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N MAIN ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311210",
            "telephone_number": "859-234-1424",
            "fax_number": "859-234-5463"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1543 Main St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "KY",
            "postal_code": "403611203",
            "country_code": "US",
            "telephone_number": "859-987-7077",
            "fax_number": "859-987-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIFRES",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1671DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001592",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "TODD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cynthiana, KY

Sources for this page

Verify at the official NPI Registry.