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Maverick Optical LLC

Technician/Technologist, Optician in Maysville, KY. Organization (NPI-2).

NPI number1982121570
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1982121570
Entity type
Organization (NPI-2)
Legal business name
Maverick Optical LLC
Organization subpart
No
Enumeration date
Aug 24, 2017
Last updated
Jul 21, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Yes · DME SUPPLIER - OPTICIAN
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician110718KYYes
332B00000X Durable Medical Equipment & Medical Supplies––
332H00000X Eyewear Supplier (Equipment, not the service)110718KY

Practice location

1937 Old Main St Ste 2
Maysville, KY 41056-8956

Phone 606-759-7311 · Fax 606-759-0610

Mailing address

1937 Old Main St Ste 2
Maysville, KY 41056-8956

Phone 606-759-7311 · Fax 606-759-0610

Authorized official

Joyce Peck
Administrative Asst
6065648794

Is something wrong?

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.

Other Optician providers in Maysville, KY

All 8 Optician providers in Maysville · All 487 providers in Maysville

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