Organization Active NPI

Marion Eye Care Center PLLC

  • Optometrist
  • Marion, KY
National Provider Identifier
1164530887
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1619DT Issued in KY
Legal business name
MARION EYE CARE CENTER PLLC
Practice address
713 S Main St
Marion, KY 42064-1807
Phone
(270) 965-5280
Fax
(270) 965-9194
NPI assigned
Aug 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Dr. Adria N. Porter, O.D.NPI 1265429641
Title
Owner
Phone
(270) 965-5280

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1619DT KY Primary

Addresses

Primary practice location

713 S Main St
Marion, KY 42064-1807

Mailing address

PO Box 414
Marion, KY 42064-0414
Phone (270) 965-5280

Other identifiers 1

IdentifierTypeStateIssuer
7100039040MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080515000135 KY Part B Supplier - Clinic/Group Practice 2466521554 Receives reassigned benefits from 1 practitioner
Practice locations: Marion, KY
O20100930056148 KY DME Supplier - Physician - Optometrist 2466521554 Practice locations: Marion, KY

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Marion Eye Care Center PLLC713 S Main St, Marion, KY 42064-1807(270) 965-5280 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Apr 10, 2008

National Provider Directory

National Provider Directory

Locations

713 S Main St
Marion, KY 42064
Phone (270) 965-4485

Interoperability endpoints

  • Direct secure messaging: aporter@marioneyecarecenter.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1164530887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420640414",
            "telephone_number": "270-965-5280",
            "fax_number": "270-965-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 S MAIN ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641807",
            "telephone_number": "270-965-5280",
            "fax_number": "270-965-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION EYE CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ADRIA",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-965-5280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1619DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100039040",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; 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.