Individual provider Active NPI

Keith T. Sherman, O.D.

  • Optometrist
  • Maysville, KY
National Provider Identifier
1962575225
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
822DT Issued in KY
Practice address
15 E 3Rd St
Maysville, KY 41056-1148
Phone
(606) 564-3650
Fax
(606) 564-3651
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 822DT KY Primary

Addresses

Primary practice location

15 E 3Rd St
Maysville, KY 41056-1148

Mailing address

15 E 3Rd St
Maysville, KY 41056-1148
Phone (606) 564-3650

Other identifiers 1

IdentifierTypeStateIssuer
77008225MedicaidKY

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
I20100317000706 KY Practitioner - Optometry 5496896383 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1975
Medicare assignment
May accept Medicare assignment
Group practices
Sherman and Taylor Eye Care, PLLCGroup PAC ID 6608917596, 2 clinicians

Practice addresses (Care Compare)

15 E 3Rd St
Maysville, KY 41056-1148
Phone (606) 564-3650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sherman & Taylor Eye Care, PLLC Optometrist CurrentSince Jan 31, 2010 Accepting new patients

Locations

104 N Main Cross St
Flemingsburg, KY 41041
Phone (606) 849-2348

15 E 3rd St
Maysville, KY 41056
Phone (606) 564-3650

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1962575225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 E 3RD ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410561148",
            "telephone_number": "606-564-3650",
            "fax_number": "606-564-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 E 3RD ST",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410561148",
            "telephone_number": "606-564-3650",
            "fax_number": "606-564-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KEITH",
        "middle_name": "T.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "822DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77008225",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maysville, KY

Sources for this page

Verify at the official NPI Registry.