Eye Care for Kids, LTD

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

Legal business name

EYE CARE FOR KIDS, LTD

Practice address

3703 Taylorsville Rd
Sutie 120
Louisville, KY 40220-1354

Phone

(502) 451-5437

Fax

(502) 451-5141

NPI assigned

Sep 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Peggy H Fishman

Title

Owner

Phone

(502) 451-5437

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1033428768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 TAYLORSVILLE RD",
            "address_2": "SUTIE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201354",
            "telephone_number": "502-451-5437",
            "fax_number": "502-451-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 TAYLORSVILLE RD",
            "address_2": "SUTIE 120",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201354",
            "telephone_number": "502-451-5437",
            "fax_number": "502-451-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE FOR KIDS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-451-5437"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.