Kelly Smiley Bugg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1864DT Issued in KY

Practice address

813 Paris Rd
Suite B
Mayfield, KY 42066-2742

Phone

(270) 247-5532

Fax

(270) 247-0258

NPI assigned

Jul 15, 2011

Last updated

Nov 18, 2014By 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

Other names 1

• Kelly Jahn Smiley Former name

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

University of Missouri St Louis - School of Optometry, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Mansfield Eye Clinic, PLLCGroup PAC ID 5294044947, 2 clinicians

Mayfield Family Eyecare, LLCGroup PAC ID 2365603701, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mayfield Family Eyecare, LLC

  • Optometrist
  • Mayfield, KY
  • NPI 1649546953
  Medicare reassignment Care Compare group Authorized official
• Mansfield Eye Clinic, PLLC

  • Optometrist
  • Paducah, KY
  • NPI 1346625613
  Medicare reassignment Care Compare group NPD
• Mansfield Eye Clinic PLLC

  • Optometrist
  • West Paducah, KY
  • NPI 1952722829
  NPD
• Dr. Robert F Hailey, DPM PSC

  • Podiatrist
  • Mayfield, KY
  • NPI 1013210251
  NPD (past)

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416268800000",
    "number": "1932497690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 PARIS RD",
            "address_2": "SUITE B",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662742",
            "telephone_number": "270-247-5532",
            "fax_number": "270-247-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 PARIS RD",
            "address_2": "SUITE B",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420662742",
            "telephone_number": "270-247-5532",
            "fax_number": "270-247-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUGG",
        "first_name": "KELLY",
        "middle_name": "SMILEY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-15",
        "last_updated": "2014-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1864DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100170490",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "SMILEY",
            "middle_name": "JAHN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Landon Blane Brewer, O.D.
• Randy Lynn Briant Jr.
• Stephanie K Bridges
• Savanah Glen Wilkins Briggs, TCADC
• Athena Michelle Brown, LPN
• Patricia Lynn Bushor, ARNP
• Katherine Byassee, MS, CCC-SLP
• Jennifer L Carrico, APRN
• Ruth Diane Carroll, RPH
• James Carter, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.