Organization Active NPI

Minix Eye Clinic, Inc.

  • Optician
  • Paintsville, KY
National Provider Identifier
1821153396
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
KY0407 Issued in KY
Legal business name
MINIX EYE CLINIC, INC.
Practice address
327 Mayo Plaza
Box 1687
Paintsville, KY 41240
Phone
(606) 789-2020
Fax
(606) 789-2019
NPI assigned
Dec 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Authorized official

Name
Mr. Marcus S Minix Sr., OPTICIANNPI 1487702403
Title
Owner, President
Phone
(606) 789-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X KY0407 KY Primary

Addresses

Primary practice location

327 Mayo Plaza
Box 1687
Paintsville, KY 41240

Mailing address

327 Mayo Plaza
Box 1687
Paintsville, KY 41240
Phone (606) 789-2020

Other identifiers 2

IdentifierTypeStateIssuer
52904075MedicaidKY
180014427OtherKYRAILROAD MEDICARE

Other names 1

  • Minix One Hour Optical, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

327 N Mayo Trl
#1687
Paintsville, KY 41240
Phone (606) 789-2020

327 N Mayo Trl
Paintsville, KY 41240
Phone (606) 789-2019

212 Glynnview Plz
Prestonsburg, KY 41653
Phone (606) 886-2154

Practitioners & affiliated clinicians

Practitioners 4

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1821153396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 MAYO PLAZA",
            "address_2": "BOX 1687",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240",
            "telephone_number": "606-789-2020",
            "fax_number": "606-789-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 MAYO PLAZA",
            "address_2": "BOX 1687",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "41240",
            "telephone_number": "606-789-2020",
            "fax_number": "606-789-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIX EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "MINIX",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "606-789-2020",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "KY0407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52904075",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180014427",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minix One Hour Optical, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paintsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2009; 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.