Mattie Katherine Adams, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2231DT Issued in KY

Practice address

1000 Johnstown Rd Ste 102
Elizabethtown, KY 42701-3925

Phone

(270) 769-0099

Fax

(270) 763-0315

NPI assigned

Jul 16, 2021

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Centers of Louisville,PSCGroup PAC ID 4789584921, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Hardin Hospital, Elizabethtown, KY, CCN 180012
• The Medical Center (Bowling Green) Hospital, Bowling Green, KY, CCN 180013

Merit-based Incentive Payment System (MIPS)

Final score

86.51 of 100Reported as group

Quality

84.13

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mattie.adams.p2@direct.johnkenyon.nextgenshare.com
• Direct secure messaging: mattieadams@bennettbloomeyecenters.imwdirect.com

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.

• Eye Centers of Louisville,PSC

  dba Bennett & Bloom Eye Centers

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1659385508

  Optometrist

  Medicare reassignment Care Compare group NPD
• Eye Centers of Louisville,P.S.C.

  dba Bluegrass Surgery & Laser Center

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
  • NPI 1396763074
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System Inc

  dba Baptist Health Hardin

  • General Acute Care Hospital
  • Elizabethtown, KY
  • NPI 1689282147
  Care Compare affiliation
• Bowling Green-Warren County Community Hospital Corporation

  dba The Medical Center

  • General Acute Care Hospital
  • Bowling Green, KY
  • NPI 1043293608
  Care Compare affiliation

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

{
    "created_epoch": "1626393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1861064958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 BLUEGRASS AVE STE 200",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402151181",
            "telephone_number": "502-364-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSTOWN RD STE 102",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427013925",
            "telephone_number": "270-769-0099",
            "fax_number": "270-763-0315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1935 Bluegrass Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151181",
            "country_code": "US",
            "telephone_number": "502-364-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Bravo Blvd",
            "address_purpose": "LOCATION",
            "city": "Glasgow",
            "state": "KY",
            "postal_code": "421413412",
            "country_code": "US",
            "telephone_number": "800-477-0055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "MATTIE",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-16",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "2231DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100813860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sana M Aburob, DMD
• Ace Therapy
• Kamana Acharya, M.D
• Active Day Ky, Inc. (Active Day of Elizabethtown)
• Acutecare Etown PLLC
• Nathaniel Adams, PHARM.D
• Adio Health Management Solutions (AllCare Pharmacy)
• Adio Pharmacy Distribution Services PLLC
• Adjusted, Inc - Chiropractic Rehabilitation
• Savanah Adkins

• Optometrist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.