Active NPI
Kentucky Physicians Eyecare Group, P.S.C.
- Optometrist
- Bowling Green, KY
National Provider Identifier
1255020202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KENTUCKY PHYSICIANS EYECARE GROUP, P.S.C.
- Practice address
- 1680 Campbell LN Ste 104
Bowling Green, KY 42104-1062 - Phone
- (270) 512-2500
- Fax
- (270) 512-2555
- NPI assigned
- May 4, 2023
- Last updated
- Jun 23, 2026
- 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
- Alisha Jackson
- Title
- Senior Revenue Cycle Manager
- Phone
- (561) 208-1591
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1680 Campbell LN Ste 104
Bowling Green, KY 42104-1062
Mailing address
PO Box 24686
New York, NY 10087-4686
Phone (561) 433-6009
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782172800000",
"number": "1255020202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24686",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100874686",
"telephone_number": "561-433-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 CAMPBELL LN STE 104",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421041062",
"telephone_number": "270-512-2500",
"fax_number": "270-512-2555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENTUCKY PHYSICIANS EYECARE GROUP, P.S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-04",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ALISHA",
"authorized_official_title_or_position": "SENIOR REVENUE CYCLE MANAGER",
"authorized_official_telephone_number": "561-208-1591"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowling Green, KY
- Kentuckiana Foot & Ankle PLLC
- Kentuckiana Foot & Ankle, PLLC
- Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 06423)
- Kentucky CVS Pharmacy, L.L.C. (CVS Pharmacy # 06422)
- Kentucky Em-I Medical Services PSC
- Kentucky Skin Cancer Center PLLC
- Kentucky Telehealth Therapy LLC
- Kentucky Trauma Therapists, LLC
- William Boyd Kernodle
- Allison J Kerr, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.