Eye Physicians of Elizabethtown PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE PHYSICIANS OF ELIZABETHTOWN PSC

Practice address

1109 Woodland Dr
Elizabethtown, KY 42701-2749

Phone

(270) 765-6066

Fax

(270) 737-2354

NPI assigned

Oct 12, 2005

Organization subpart

No

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

Authorized official

Name

Vicky Woods

Title

Billing Manager

Phone

(270) 765-6066

Specialties & licenses 2

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 3

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

• Sarah Rae Byrd, O.D.

  • Optometrist
  • Elizabethtown, KY
  • NPI 1750747283
  Medicare reassignment Care Compare group NPD
• Benjamin L Proctor, M.D.

  • Ophthalmology Physician
  • Elizabethtown, KY
  • NPI 1184811077
  Medicare reassignment Care Compare group NPD
• Donald Anthony Smith Jr., MD

  • Ophthalmology Physician
  • Elizabethtown, KY
  • NPI 1235130956
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1245228204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-765-6066",
            "fax_number": "270-737-2354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 WOODLAND DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012749",
            "telephone_number": "270-765-6066",
            "fax_number": "270-737-2354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF ELIZABETHTOWN PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "VICKY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "270-765-6066"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65924607",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bevan Burch Evans, PA-C
• Vanessa Michelle Evridge
• Ew James & Sons, Inc.
• Ashley Ewert, DO
• Extendicare Homes, Inc.
• Richard Andrew Facemire
• Andrea Nicole Fackler
• Thomas David Falls, M.D.
• Family Healing Health Care Clinic
• Debra J Farmer

• Ophthalmology Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.