Downey Eye Clinic, PLLC
Organization Active NPI Optometrist · Russell Springs, KY
NPI 1083406490 · NPPES record last updated May 21, 2025
Key facts
- NPI
- 1083406490
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- DOWNEY EYE CLINIC, PLLC
- Practice address
- 310 Steve Dr Ste 1
Russell Springs, KY 42642-4599 - Phone
- (270) 866-4414
- NPI assigned
- May 21, 2025
- Organization subpart
- No
Authorized official
- Name
- Jacob Burton, O.D.
- Title
- Owner / Optometrist
- Phone
- (270) 384-6043
Other NPIs with the same Medicare PAC ID 1
Member of 1
Practitioners 5
-
Amanda M Ballard, OD
-
Jacob Burton, O.D
-
Trevor Peden, OD
-
Sarai Williams, O.D.
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Downey Eye Clinic, PLLC |
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250717003735 | KY | DME Supplier - Physician - Optometrist | 9830561117 | Practice locations: Russell Springs, KY |
National Provider Directory
Locations
1463 Campbellsville Rd
Columbia, KY 42728
Phone (270) 384-6043
310 Steve Dr
Ste 1
Russell Springs, KY 42642
Phone (270) 866-4414
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
310 Steve Dr Ste 1
Russell Springs, KY 42642-4599
Mailing address
1463 Campbellsville Rd
Columbia, KY 42728-2263
Phone (270) 384-6043
Other providers in Russell Springs, KY
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Foot and Ankle Center
- Angela Yvonne Cundiff-Roy
- Natalie Ann Curry-Sanders
- Robin Duvall
- Abigail L Eads
- Megan Ashley Embry
- Amanda D England
- Ephraim McDowell Health Resource, Inc
All providers in Russell Springs, KY · Optometrist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.