Puckett Family Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1190DT Issued in KY

Legal business name

PUCKETT FAMILY EYE CARE, PLLC

Practice address

225 Hospital Dr Ste 160
Winchester, KY 40391-7635

Phone

(859) 744-4429

Fax

(859) 744-3941

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Randall K Puckett, ODNPI 1326031527

Title

President

Phone

(859) 744-4429

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

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

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Randall K Puckett

  • Optometrist
  • Winchester, KY
  • NPI 1326031527
  Medicare reassignment Care Compare group NPD Authorized official
• Aaron Keith Mullins, OD

  • Optometrist
  • Winchester, KY
  • NPI 1124648761
  Medicare reassignment Care Compare group NPD
• Laurence Braden Riel, OD

  • Optometrist
  • Winchester, KY
  • NPI 1770465775
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1083775878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR STE 160",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917635",
            "telephone_number": "859-744-4429",
            "fax_number": "859-745-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 HOSPITAL DR STE 160",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403917635",
            "telephone_number": "859-744-4429",
            "fax_number": "859-744-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUCKETT FAMILY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-744-4429",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1190DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Vibes Counseling, LLC
• Tena Hoffman Powe, DMD
• Mary Alice Prater, PT
• Premier Eye Care, PLLC
• Regina Ann Prewitt, APRN
• Randall K Puckett
• Jacob Marshall Qualls, LCADC
• Stacey Rapier, LMT
• Sheena Barshea Ratliff
• Shelby Ray

• Optometrist in Winchester, KY
• Providers in Winchester, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.