Organization Active NPI

Flying Eye PLLC

Doing business as Kentucky Eye Center

  • Ophthalmology Physician
  • Jackson, KY
National Provider Identifier
1053054940
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
FLYING EYE PLLC
Doing business as
Kentucky Eye Center
Practice address
100 Highway 15 S Ste 108
Jackson, KY 41339-8895
Phone
(606) 666-9393
Fax
(606) 666-4131
NPI assigned
Apr 18, 2022
Last updated
Apr 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2022

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

Authorized official

Name
Sherri Doolin
Title
Billing/Credentialing Manager
Phone
(859) 338-8590

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Ophthalmology Physician 207W00000X NU Primary
Eyewear Supplier 332H00000X NU

Addresses

Primary practice location

100 Highway 15 S Ste 108
Jackson, KY 41339-8895

Mailing address

1401 Harrodsburg Rd Ste B290
Lexington, KY 40504-1730
Phone (859) 277-2692

Other names 1

  • Kentucky Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

1401 Harrodsburg Rd
Ste B290
Lexington, KY 40504
Phone (859) 277-2692

4071 Tates Creek Centre Dr
Ste 202
Lexington, KY 40517
Phone (859) 260-4390

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650240000000",
    "number": "1053054940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD STE B290",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041730",
            "telephone_number": "859-277-2692",
            "fax_number": "859-277-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HIGHWAY 15 S STE 108",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413398895",
            "telephone_number": "606-666-9393",
            "fax_number": "606-666-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYING EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-18",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "DOOLIN",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "859-338-8590"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.