Advanced Eyecare Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1622DT Issued in KY

Legal business name

ADVANCED EYECARE ASSOCIATES, LLC

Practice address

1997 Barrett CT
Henderson, KY 42420-2667

Phone

(270) 826-9966

Fax

(270) 827-1206

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Robert L Cottingham, O.D.NPI 1588661573

Title

Doctor of Optometry

Phone

(270) 826-9966

Specialties & licenses 1

Addresses

Other identifiers 1

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

Practitioners 1

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

• Robert L. Cottingham, OD

  • Optometrist
  • Henderson, KY
  • NPI 1588661573

  KY, Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1104071018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 BARRETT CT",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202667",
            "telephone_number": "270-826-9966",
            "fax_number": "270-827-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 BARRETT CT",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202667",
            "telephone_number": "270-826-9966",
            "fax_number": "270-827-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYECARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "COTTINGHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "270-826-9966",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1622DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100027330",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Louise Acuna, RBT
• Paul C Adjei, M.D.
• Sarah Adkins
• Sharon K Adkins, CRNA
• Alex Adu-Gyamfi
• Advanced Integrative Medical Services
• Advanced Preferred Imaging PSC
• Khwaja Mubeen Ahmad, M.D.
• Mallory Ciara Akins
• Allen Aldridge

• All providers in Henderson, KY
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.