Dr. Mark Jeffery Fields, O.D.
Optometrist in Richmond, KY. Individual provider (NPI-1).
NPI number1720136351
StatusActive
Last updated in NPPESDec 18, 2007
Details
- NPI
- 1720136351
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Jeffery Fields
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Dec 18, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OPTOMETRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1315 DT | KY | Yes |
Practice location
820 Eastern BypRichmond, KY 40475-2512
Phone 859-625-0042
Mailing address
3704 Ridge View WayLexington, KY 40509-2941
Phone 859-543-9474
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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