Organization Active NPI

Muha Optometric Group, PLLC

  • Optometrist
  • Georgetown, KY
National Provider Identifier
1811216971
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1590DT Issued in KY
Legal business name
MUHA OPTOMETRIC GROUP, PLLC
Practice address
112 Osbourne Way
Georgetown, KY 40324-9636
Phone
(502) 863-9777
Fax
(502) 867-1226
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Dr. Kevin Mark Muha, O.D.
Title
Optometrist
Phone
(859) 492-0162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1590DT KY Primary

Addresses

Primary practice location

112 Osbourne Way
Georgetown, KY 40324-9636

Mailing address

3097 Caversham Park LN
Lexington, KY 40509-8501
Phone (859) 492-0162

Other identifiers 1

IdentifierTypeStateIssuer
7100017080MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Muha Optometric Group PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1811216971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3097 CAVERSHAM PARK LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098501",
            "telephone_number": "859-492-0162",
            "fax_number": "606-784-2124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 OSBOURNE WAY",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249636",
            "telephone_number": "502-863-9777",
            "fax_number": "502-867-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUHA OPTOMETRIC GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "MUHA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "859-492-0162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1590DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100017080",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.