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Deactivated NPI 1619073285 Deactivated / Inactive NPI Male Practitioner

Dr. Kent M Mackey , OD

Optometrist • Fort Wayne, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kent Mackey has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 15, 2006
NPI Deactivation Date September 29, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Kent Mackey, OD was a registered Optometrist practicing in Fort Wayne, IN. Throughout an active medical career spanning 18 years, Dr. Mackey provided care at the practice location at 7625 SOUTHTOWN XING until profile deactivation on 2024-09-29.

Practice Location & Contact Primary Location

Practice Address

7625 Southtown Xing

Fort Wayne, IN 468162517

Telephone 2604473583
Fax 2604418276
Associated Practice Facility / Clinic
🏢 Longe Enterprises Corp Facility NPI 1972848018

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fort Wayne, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.6 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
108 Specialists

Practicing in Fort Wayne, IN (1644 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IN 1991

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1033369244

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 29, 2024

Record deactivated on September 29, 2024

NPI Profile Active April 08, 2014

NPI status registered as active in NPPES database

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Updated Practice Location April 08, 2014

Registered at 7625 SOUTHTOWN XING, FORT WAYNE, IN 468162517 (Tel: 2604473583)

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Updated Business Mailing Address April 08, 2014

Registered at 11026 WILMINGTON CT, FORT WAYNE, IN 468147539 (Tel: 2604367530)

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Provider Name / Credentials Updated April 08, 2014

Recorded as KENT MACKEY, O.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2014

Optometrist (License #1991 in IN)

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Initial NPI Registration & Enumeration September 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619073285
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 15, 2006
Last Update: April 08, 2014
Deactivation Date: September 29, 2024

Mailing Address

11026 Wilmington Ct

Fort Wayne, IN 468147539

Phone: 2604367530

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.