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

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Downey Eye Clinic, PLLC
310 Steve Dr, Russell Springs, KY 42642-4599 · (270) 866-4414
Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignment
Participating since Jul 13, 2023

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Optometrist
Group: 193400000X SINGLE SPECIALTY GROUP
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

All providers in Russell Springs, KY · Optometrist in Kentucky

Sources for this page

Verify at the official NPI Registry.