Active NPI
Mountain Eye Care Center
- Optometrist
- Barbourville, KY
National Provider Identifier
1144387697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- KY1260DT
- Legal business name
- MOUNTAIN EYE CARE CENTER
- Practice address
- 620 Old 25E
Barbourville, KY 40906 - Phone
- (606) 546-8822
- Fax
- (606) 546-6876
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harold Clif Gregory, OD
- Title
- President
- Phone
- (606) 546-8822
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | KY1260DT | KY | Primary |
Addresses
Primary practice location
620 Old 25E
Barbourville, KY 40906
Mailing address
620 Old 25E
Barbourville, KY 40906
Phone (606) 546-8822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7701260700 | Medicaid | KY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Lexington, KY
- NPI 1912010182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218585600000",
"number": "1144387697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 OLD 25E",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "40906",
"telephone_number": "606-546-8822",
"fax_number": "606-546-6876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 OLD 25E",
"city": "BARBOURVILLE",
"state": "KY",
"postal_code": "40906",
"telephone_number": "606-546-8822",
"fax_number": "606-546-6876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN EYE CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2008-08-13",
"status": "A",
"authorized_official_last_name": "GREGORY",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "CLIF",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-546-8822",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "KY",
"license": "KY1260DT",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7701260700",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barbourville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.