Cnetral Kentucky Optcialco., Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

837 Issued in KY

Legal business name

CNETRAL KENTUCKY OPTCIALCO., INC.

Practice address

625 Leawood Dr
Frankfort, KY 40601-4409

Phone

(502) 223-2020

Fax

(502) 223-0185

NPI assigned

Apr 2, 2007

Last updated

Aug 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lynn M Rogers, OPTICIAN

Title

President

Phone

(502) 223-2020

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1215058078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LEAWOOD DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014409",
            "telephone_number": "502-223-2020",
            "fax_number": "502-223-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 LEAWOOD DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014409",
            "telephone_number": "502-223-2020",
            "fax_number": "502-223-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNETRAL KENTUCKY OPTCIALCO., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "502-223-2020",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52908373",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Eyewear Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.

Verify at the official NPI Registry.