COLLABORATIVE CARE MEDICAL ASSOCIATES INC.
NPI 1558690180
Optometrist in Hazard, KY

Active since December 10, 2009
941 N MAIN ST, HAZARD, KY 41701(606) 439-4010(606) 439-0880 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Collaborative Care Medical Associates Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE CARE MEDICAL ASSOCIATES INC. (NPI 1558690180) is a healthcare organization registered as an optometrist in Hazard, Kentucky and active in the NPI registry since December 2009. The organization lists Dwight L Avery, Owner, as its authorized official.

NPPES Registry Identity

NPI1558690180
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCOLLABORATIVE CARE MEDICAL ASSOCIATES INC.
Location Address941 N MAIN STHazard, KY 41701-1377
Mailing Address941 N Main StHazard, KY 41701-1377 · (606) 439-4010 · Fax (606) 439-0880
Fax(606) 439-0880
Organization SubpartNo
Authorized OfficialDwight L AveryOwner · (606) 439-4010
Enumeration DateDecember 10, 2009
Last NPPES UpdateJanuary 24, 2011
✔ NPI 1558690180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 1120DT
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5556P (KY)
941 N MAIN ST, Hazard, KY 41701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collaborative Care Medical Associates Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Collaborative Care Medical Associates Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1992883243
941 N MAIN STREET
Hazard, KY 41701
(606) 439-4010
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Care Medical Associates Inc.'s NPI number?

The NPI number for Collaborative Care Medical Associates Inc. is 1558690180. It was assigned to this organization in the NPPES registry on December 10, 2009.

Where is Collaborative Care Medical Associates Inc. located?

Collaborative Care Medical Associates Inc. is located at 941 N Main St, Hazard, KY 41701. The listed phone number is (606) 439-4010.

What is Collaborative Care Medical Associates Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Collaborative Care Medical Associates Inc. enrolled in Medicare?

Yes. Collaborative Care Medical Associates Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collaborative Care Medical Associates Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Collaborative Care Medical Associates Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Collaborative Care Medical Associates Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter of Tennessee list Collaborative Care Medical Associates Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Collaborative Care Medical Associates Inc. was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.