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MAVERICK OPTICAL LLC
NPI 1982121570
Technician/Technologist - Optician in Maysville, KY

Active since August 24, 2017
1937 OLD MAIN ST STE 2, MAYSVILLE, KY 41056(606) 759-7311(606) 759-0610 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Aug 24, 2017 (2 updates tracked since 2017).

About Maverick Optical Llc NPPES

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

MAVERICK OPTICAL LLC (NPI 1982121570) is a healthcare organization registered as an optician in Maysville, Kentucky and active in the NPI registry since August 2017. The organization lists Joyce Peck, Administrative Asst, as its authorized official.

NPPES Registry Identity

NPI1982121570
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameMAVERICK OPTICAL LLC
Location Address1937 OLD MAIN ST STE 2Maysville, KY 41056-8956
Mailing Address1937 Old Main St Ste 2Maysville, KY 41056-8956 · (606) 759-7311 · Fax (606) 759-0610
Phone(606) 759-7311
Fax(606) 759-0610
Organization SubpartNo
Authorized OfficialJoyce PeckAdministrative Asst · (606) 564-8794
Enumeration DateAugust 24, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1982121570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License✔ Licensed in KY · 110718
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedEyewear SupplierTaxonomy 332H00000X · License 110718 (KY)
1937 OLD MAIN ST STE 2, Maysville, KY 41056
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Other Identifiers 4

Other1427041037Npi
Medicaid7100246390KY
Other1093159626Npi
Medicaid52000155KY

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maverick Optical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20180111000592DME · OpticianDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Medical Equipment Supplier Medicare DMEPOS 2

Medicare supplier enrollment and the product categories Maverick Optical LLC carries, from the Medicare DMEPOS supplier directory.

Maverick Optical LLC

DMEPOS supplier · Maysville, KY
⋮

Does not accept Medicare assignment

Maverick Optical LLC has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20460473
Medicare Participant SinceAugust 14, 2017
Supplier Location1937 Old Main St Ste 2Maysville, KY 41056
Phone(606) 759-7311
Supplier Specialties
Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Maverick Optical LLC's NPI number?

The NPI number for Maverick Optical LLC is 1982121570. It was assigned to this organization in the NPPES registry on August 24, 2017.

Where is Maverick Optical LLC located?

Maverick Optical LLC is located at 1937 Old Main St Ste 2, Maysville, KY 41056. The listed phone number is (606) 759-7311.

What is Maverick Optical LLC's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

Is Maverick Optical LLC enrolled in Medicare?

Yes. Maverick Optical LLC is registered in the Medicare PECOS enrollment system.

When is Maverick Optical LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Kentucky, Optician) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Maverick Optical LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Maverick Optical LLC does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

When was this NPI record last updated?

The NPPES record for Maverick Optical LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.