Organization Active NPI

Middletown Eye Care PLLC

  • Eyewear Supplier
  • Louisville, KY
National Provider Identifier
1285760926
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
25403 Issued in KY
Legal business name
MIDDLETOWN EYE CARE PLLC
Practice address
13324 Shelbyville Rd
Louisville, KY 40223-3936
Phone
(502) 245-9568
Fax
(502) 254-1425
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Craig Donoho
Title
Optical Manager
Phone
(502) 245-9568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 25403 KY Primary

Addresses

Primary practice location

13324 Shelbyville Rd
Louisville, KY 40223-3936

Mailing address

13324 Shelbyville Rd
Louisville, KY 40223-3936
Phone (502) 245-9568

National Provider Directory

National Provider Directory

Locations

13324 Shelbyville Rd
Louisville, KY 40223
Phone (502) 245-0305

Practitioners & affiliated clinicians

Practitioners 2

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": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1285760926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13324 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233936",
            "telephone_number": "502-245-9568",
            "fax_number": "502-254-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13324 SHELBYVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402233936",
            "telephone_number": "502-245-9568",
            "fax_number": "502-254-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "DONOHO",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "OPTICAL MANAGER",
        "authorized_official_telephone_number": "502-245-9568"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "25403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.