Organization Active NPI

Dugger Eyecare, PSC

  • Optometrist
  • Louisville, KY
National Provider Identifier
1043640352
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1740DT Issued in KY
Legal business name
DUGGER EYECARE, PSC
Practice address
9501 Taylorsville Rd
Suite 106
Louisville, KY 40299-2752
Phone
(502) 267-8261
Fax
(502) 267-4256
NPI assigned
Nov 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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

Authorized official

Name
Dr. Matthew L. Dugger, O.D.
Title
Optometrist/Owner
Phone
(502) 267-8261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1740DT KY Primary

Addresses

Primary practice location

9501 Taylorsville Rd
Suite 106
Louisville, KY 40299-2752

Mailing address

9501 Taylorsville Rd
Suite 106
Louisville, KY 40299-2752
Phone (502) 267-8261

Other identifiers 1

IdentifierTypeStateIssuer
7100108370MedicaidKY

Other names 1

  • Dr. Garner's Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

9813 Merioneth Dr
Louisville, KY 40299
Phone (502) 267-8261

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1043640352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 TAYLORSVILLE RD",
            "address_2": "SUITE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992752",
            "telephone_number": "502-267-8261",
            "fax_number": "502-267-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 TAYLORSVILLE RD",
            "address_2": "SUITE 106",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992752",
            "telephone_number": "502-267-8261",
            "fax_number": "502-267-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUGGER EYECARE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "DUGGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "502-267-8261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1740DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100108370",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Garner's Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.