Organization Active NPI

River Cities Eye Consultant

  • Ophthalmologic Surgery Clinic/Center
  • Ashland, KY
National Provider Identifier
1043410822
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
41013 Issued in KY
Legal business name
RIVER CITIES EYE CONSULTANT
Practice address
2119 Carter Ave
Ashland, KY 41101-7733
Phone
(606) 329-2243
Fax
(606) 324-2395
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2007

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

Authorized official

Name
Ms. Jenny S Vallance
Title
Billing Coordinator
Phone
(606) 329-2243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 41013 KY Primary

Addresses

Primary practice location

2119 Carter Ave
Ashland, KY 41101-7733

Mailing address

2119 Carter Ave
Ashland, KY 41101
Phone (606) 329-2243

Other identifiers 1

IdentifierTypeStateIssuer
7673570OtherKYAETNA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1043410822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-329-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411017733",
            "telephone_number": "606-329-2243",
            "fax_number": "606-324-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITIES EYE CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "VALLANCE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "606-329-2243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "KY",
            "license": "41013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7673570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.