Individual provider Active NPI

Kevin Mark Muha, OD

  • Optometrist
  • Morehead, KY
National Provider Identifier
1891817086
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1590DT Issued in KY
Practice address
200 Walmart Way
Morehead, KY 40351-7217
Phone
(606) 784-3937
Fax
(606) 784-3938
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1590DT KY Primary

Addresses

Primary practice location

200 Walmart Way
Morehead, KY 40351-7217

Mailing address

200 Walmart Way
Morehead, KY 40351-7217
Phone (859) 492-0162

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100628000904 KY Practitioner - Optometry 3072644517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muha Optometric Group, PLLCGroup PAC ID 8527199058, 2 clinicians

Practice addresses (Care Compare)

200 Walmart Way
Morehead, KY 40351-7217
Phone (606) 784-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1590DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Muha Optometric Group, PLLC Optometrist CurrentSince Jun 1, 2010 Accepting new patients

Locations

112 Osborne Way
Georgetown, KY 40324
Phone (502) 863-9777

200 Walmart Way
Morehead, KY 40351
Phone (606) 784-3266

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1891817086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WALMART WAY",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403517217",
            "telephone_number": "859-492-0162",
            "fax_number": "606-784-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WALMART WAY",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403517217",
            "telephone_number": "606-784-3937",
            "fax_number": "606-784-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHA",
        "first_name": "KEVIN",
        "middle_name": "MARK",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1590DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead, KY

Sources for this page

Verify at the official NPI Registry.