Active NPI
Muha Optometric Group, PLLC
- Optometrist
- Georgetown, KY
National Provider Identifier
1811216971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1590DT
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100017080 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Muha Optometric Group PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Morehead, KY
- NPI 1497925713
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lexington, KY
- NPI 1699056531
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.