WM. Dwayne Sizemore, O.D., PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

968DT Issued in KY

Legal business name

WM. DWAYNE SIZEMORE, O.D., PSC

Doing business as

Eye Care Center

Practice address

161 Citizens LN
Hazard, KY 41701-1352

Phone

(606) 436-3313

Fax

(606) 436-2020

NPI assigned

Jun 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. William Dwayne Sizemore, O.D.

Title

Owner

Phone

(606) 436-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eye Care Center Doing business as

Tax ID family

Eye Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• WM.Dwayne Sizemore, O.D. PSC

  • Optometrist
  • Hindman, KY
  • NPI 1336344639
  NPD tax ID

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1265637565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 CITIZENS LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011352",
            "telephone_number": "606-436-3313",
            "fax_number": "606-436-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 CITIZENS LN",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417011352",
            "telephone_number": "606-436-3313",
            "fax_number": "606-436-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM. DWAYNE SIZEMORE, O.D., PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "SIZEMORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-436-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "968DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901627",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda Williams
• Lindsey Williams, APRN
• Brooklyn Wilson, AGAC-NP
• Telena Wilson
• Jennifer Witt-Fraley
• Mary Woods
• Amanda Gail Wooton, M. ED, LPCC
• Christie Lee Wooton, A.P.R.N.
• Dachea Ann Wooton, PHARMACIST
• Vera Wooton

• Optometrist in Hazard, KY
• Providers in Hazard, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.