Active NPI
Anthony J Mayo, OD
- Optometrist
- Morehead, KY
National Provider Identifier
1992886675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1114DT
- Practice address
- 129 W Main St
Morehead, KY 40351-1625 - Phone
- (606) 784-5355
- Fax
- (606) 784-4864
- NPI assigned
- Oct 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1114DT | KY | Primary |
Addresses
Primary practice location
129 W Main St
Morehead, KY 40351-1625
Mailing address
129 W Main St
Morehead, KY 40351-1625
Phone (606) 784-5355
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000049329 | Other | KY | ANTHEM |
| 1924 | Other | KY | BLUEGRASS |
| 611169861 | Other | KY | HUMANA |
| 000000002791 | Other | KY | CNA |
| 77011146 | Medicaid | KY |
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
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060206000387 | KY | Practitioner - Optometry | 6305850728 | Practice locations: Morehead, KY |
| O20100930046100 | KY | DME Supplier - Physician - Optometrist | 8729105275 | Practice locations: Morehead, KY |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Ohio State University - College of Optometry, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
129 W Main St
Morehead, KY 40351-1625
Phone (606) 784-5355
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.94 of 100
- Quality
- 87.8
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 53 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1992886675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "129 W MAIN ST",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511625",
"telephone_number": "606-784-5355",
"fax_number": "606-784-4864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 W MAIN ST",
"city": "MOREHEAD",
"state": "KY",
"postal_code": "403511625",
"telephone_number": "606-784-5355",
"fax_number": "606-784-4864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYO",
"first_name": "ANTHONY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1114DT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000049329",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUEGRASS",
"identifier": "1924",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "611169861",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNA",
"identifier": "000000002791",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77011146",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morehead, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.