Eyemart Family Vision Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEMART FAMILY VISION CARE INC

Doing business as

Eye Mart

Practice address

100 Highway 15 S
Suite 108
Jackson, KY 41339-8636

Phone

(606) 666-4585

Fax

(606) 666-4583

NPI assigned

Feb 6, 2009

Last updated

Apr 4, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

EYE MART FAMILY VISION CARE INCAs reported in NPPES

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

Authorized official

Name

Dr. Terry L Goodman, O.D.NPI 1831235498

Title

Physician / Owner

Phone

(502) 499-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Mart Doing business as

Part of

Terry L Goodman OD

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Terry L Goodman, OD

  • Optometrist
  • Louisville, KY
  • NPI 1831235498
  Authorized official Same address or phone

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1043459597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 TAYLORSVILLE RD STE 106",
            "city": "JEFFERSONTOWN",
            "state": "KY",
            "postal_code": "402992752",
            "telephone_number": "606-666-4585",
            "fax_number": "606-666-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 15 S",
            "address_2": "SUITE 108",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398636",
            "telephone_number": "606-666-4585",
            "fax_number": "606-666-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEMART FAMILY VISION CARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE MART FAMILY VISION CARE INC",
        "enumeration_date": "2009-02-06",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "GOODMAN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "502-499-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100074570",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Mart",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Portia Ann Dunaway, RPH
• Jerrica Duty, APRN
• Mary Elizabeth Eldridge, PA-C
• Beverly Dawn Ellis, APRN
• Tara Epperson, LCSW
• Family Medical Specialty Clinic D.B.a. (Saint Mark's Family and Specialty Clinic)
• Family Medical Specialty Clinic PLLC
• Flying Eye PLLC (Kentucky Eye Center)
• Rebecca Lynn Fryman
• Brittany Moore Fugate, D.O.

• Optometrist in Jackson, KY
• Providers in Jackson, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.