Individual provider Active NPI

Stephen M McKinley, OD

  • Optometrist
  • Whitley City, KY
National Provider Identifier
1902903511
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1676DT Issued in KY
Practice address
86 Medical LN
Whitley City, KY 42653-4216
Phone
(606) 376-5258
Fax
(606) 376-2045
NPI assigned
Sep 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1676DT KY Primary
Optometrist 152W00000X 2659 TN

Addresses

Primary practice location

86 Medical LN
Whitley City, KY 42653-4216

Mailing address

PO Box 306
Ferguson, KY 42533-0306
Phone (606) 492-2211

Other practice location 1

3810 S Highway 27 Ste 1
Somerset, KY 42501-3073
Phone (606) 678-4551

Other practice location 2

640 W Highway 92 Ste 3
Williamsburg, KY 40769-1936
Phone (606) 549-0464

Other practice location 3

467 Sunset Trl
Jellico, TN 37762-2709
Phone (423) 784-2020

Other practice location 4

16605 Alberta St
Oneida, TN 37841-6283
Phone (423) 569-9339

Other identifiers 13

IdentifierTypeStateIssuer
01177961OtherAMERIGROUP
3946892MedicaidTN
7100010460MedicaidKY
DG5893OtherKYRAILROAD MEDICARE GROUP # FOR WILLIAMSBURG
7100209960MedicaidKY
7100212600MedicaidKY
4163597OtherTNTENNCARE/BLUECARE/BCBSTN
5185OtherKYAVESIS/MEDICAID
PO0760685OtherRAILROAD MEDICARE FOR JELLICO
P00443168OtherKYRAILROAD MEDICARE(PTAN)
3946891MedicaidTN
7100209950MedicaidKY
7100210000MedicaidKY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL COMPULINK Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061129000115 TN Practitioner - Optometry 1355349374 Reassigns benefits to 1 organization
I20070430000541 KY Practitioner - Optometry 1355349374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Eye Care Inc 12 clinicians

Practice addresses (Care Compare)

86 Medical LN
Whitley City, KY 42653-4216
Phone (606) 376-5258

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1676DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Eye Care, Inc. Optometrist CurrentSince Jul 1, 2006 Accepting new patients
Associates in Eye Care, Inc. Optometrist Current Accepting new patients
Associates in Eye Care, Inc. Optometrist CurrentSince Jul 1, 2006 Accepting new patients
Associates in Eye Care, Inc. Optometrist CurrentSince Jul 1, 2006 Accepting new patients
Associates in Eye Care, Inc. Optometrist Current Accepting new patients
Associates in Eye Care, Inc. Optometrist Past Accepting new patients
Associates in Eye Care, Inc. Optometrist Past Accepting new patients

Locations

127 Foothills Ave
Ste 3
Albany, KY 42602
Phone (606) 376-5258

546 Steve Dr
Russell Springs, KY 42642
Phone (270) 866-3177

3810 S Highway 27
Ste 1
Somerset, KY 42501
Phone (606) 678-4551

86 Medical Ln
Whitley City, KY 42653
Phone (606) 376-1551

207 Main St
Williamsburg, KY 40769
Phone (606) 549-0464

640 W Highway 92
Ste 3
Williamsburg, KY 40769
Phone (606) 549-0464

2523 Jacksboro Pike
Jacksboro, TN 37757
Phone (423) 556-2020

467 Sunset Trl
Jellico, TN 37762
Phone (423) 784-2020

16605 Alberta St
Oneida, TN 37841
Phone (423) 569-9339

Organizations & group practices 8

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": "1158624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1902903511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "FERGUSON",
            "state": "KY",
            "postal_code": "425330306",
            "telephone_number": "606-492-2211",
            "fax_number": "606-676-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MEDICAL LN",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426534216",
            "telephone_number": "606-376-5258",
            "fax_number": "606-376-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 S Highway 27 Ste 1",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425013073",
            "country_code": "US",
            "telephone_number": "606-678-4551",
            "fax_number": "606-678-0972",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 W Highway 92 Ste 3",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "KY",
            "postal_code": "407691936",
            "country_code": "US",
            "telephone_number": "606-549-0464",
            "fax_number": "606-532-1773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "467 Sunset Trl",
            "address_purpose": "LOCATION",
            "city": "Jellico",
            "state": "TN",
            "postal_code": "377622709",
            "country_code": "US",
            "telephone_number": "423-784-2020",
            "fax_number": "423-784-4940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16605 Alberta St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "TN",
            "postal_code": "378416283",
            "country_code": "US",
            "telephone_number": "423-569-9339",
            "fax_number": "423-569-1316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "STEPHEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-19",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1676DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01177961",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3946892",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100010460",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP # FOR WILLIAMSBURG",
            "identifier": "DG5893",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100209960",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100212600",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE/BLUECARE/BCBSTN",
            "identifier": "4163597",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS/MEDICAID",
            "identifier": "5185",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE FOR JELLICO",
            "identifier": "PO0760685",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE(PTAN)",
            "identifier": "P00443168",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3946891",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100209950",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100210000",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPULINK",
            "affiliation": "N",
            "endpointDescription": "SECURE SOFTWARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ELECTRONIC HEALTH RECORDS",
            "address_1": "16605 Alberta St",
            "city": "Oneida",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378416283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whitley City, KY

Sources for this page

Verify at the official NPI Registry.