Active NPI
Dugger Eyecare, PSC
- Optometrist
- Louisville, KY
National Provider Identifier
1043640352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1740DT
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100108370 | Medicaid | KY |
Other names 1
- Dr. Garner's Vision Center
National Provider Directory
National Provider DirectoryLocations
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.