M.D. Optique, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

KY 1309 Issued in KY

Legal business name

M.D. OPTIQUE, INC

Practice address

3801 Mall Road
Suite 115
Lexington, KY 40503

Phone

(859) 278-5443

Fax

(859) 277-6332

NPI assigned

Feb 15, 2007

Last updated

Apr 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Mary Denise Fridenmaker, OPTICIAN

Title

Owner

Phone

(859) 278-5443

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1801939863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MALL ROAD",
            "address_2": "SUITE 115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-278-5443",
            "fax_number": "859-277-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MALL ROAD",
            "address_2": "SUITE 115",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "40503",
            "telephone_number": "859-278-5443",
            "fax_number": "859-277-6332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.D. OPTIQUE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "FRIDENMAKER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-278-5443",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "KY 1309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junell Lyons
• Kelly Elizabeth Lyons, APRN
• Mariabeth Lyons
• Rachel Long Lyons
• M. Carter Enterprises PLLC (Choice Physical Therapy)
• M2K Internal Medicine, PLLC
• M2K Internal Medicine, PSC
• M2K Internal Medicine, PSC
• Eric Ma, PT, DPT
• Yuchen Ma, M.D.

• Optician in Lexington, KY
• Providers in Lexington, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.