Individual provider Active NPI

Steven Christopher Mayes, O.D.

  • Optometrist
  • Nicholasville, KY
National Provider Identifier
1770625634
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1550DT Issued in KY
Practice address
181 E Brannon Rd
Nicholasville, KY 40356-8060
Phone
(859) 971-2211
Fax
(859) 971-2213
NPI assigned
Feb 13, 2007
Last updated
Mar 25, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1550DT KY Primary

Addresses

Primary practice location

181 E Brannon Rd
Nicholasville, KY 40356-8060

Mailing address

181 E Brannon Rd
Nicholasville, KY 40356-8060
Phone (859) 971-2211

Other identifiers 1

IdentifierTypeStateIssuer
77000669MedicaidKY

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
I20100825000731 KY Practitioner - Optometry 4880718030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

181 E Brannon Rd
Nicholasville, KY 40356-8060
Phone (859) 971-2211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1550DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Family Vision PLLC Optometrist CurrentSince Mar 11, 2013 Accepting new patients
Sight Savers Eye Care PLLC Optometrist PastSince Mar 11, 2013 Accepting new patients

Locations

181 E Brannon Rd
Nicholasville, KY 40356
Phone (859) 971-2211

Organizations & group practices 2

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1770625634",
    "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",
            "telephone_number": "859-971-2211",
            "fax_number": "859-971-2213"
        },
        {
            "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",
            "fax_number": "859-971-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "STEVEN",
        "middle_name": "CHRISTOPHER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1550DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77000669",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

Verify at the official NPI Registry.