Elite Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

KY 1711 Issued in KY

Legal business name

ELITE VISION CENTER LLC

Practice address

1403 Cumberland Ave
Suite a
Middlesboro, KY 40965-1158

Phone

(606) 248-2549

Fax

(606) 248-9188

NPI assigned

Feb 13, 2012

Last updated

Aug 16, 2012By 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

Dr. Kyle Matthew Barnes, O.D.NPI 1982896593

Title

Member/Owner

Phone

(606) 248-2549

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Barnes Vision PLLC

  dba Barnes Vision

  • Optometrist
  • Dandridge, TN
  • NPI 1992938104

  Member Of

  NPD member

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kyle Barnes, OD

  • Optometrist
  • Dandridge, TN
  • NPI 1982896593

  KY

  Medicare reassignment Care Compare group NPD Authorized official
• Holly Renee Booth, O.D.

  • Optometrist
  • Middlesboro, KY
  • NPI 1194749473
  Medicare reassignment Care Compare group NPD
• Heather Lavallee, OD

  • Optometrist
  • Somerset, KY
  • NPI 1679182448
  Medicare reassignment NPD
• Cynthia Elam Corbin, O.D.

  • Optometrist
  • Barbourville, KY
  • NPI 1144344110
  NPD (past)
• Robert E. Searle, M.D.

  • Ophthalmology Physician
  • Charlottesville, VA
  • NPI 1558316224
  NPD (past)

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1295008803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 CUMBERLAND AVE",
            "address_2": "SUITE A",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651158",
            "telephone_number": "606-248-2549",
            "fax_number": "606-248-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 CUMBERLAND AVE",
            "address_2": "SUITE A",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "409651158",
            "telephone_number": "606-248-2549",
            "fax_number": "606-248-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "606-248-2549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "KY 1711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100202310",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526915",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hubert Waylon Dunn, CRNA
• Katherine Marie Ebsworth-Mojica, M.D.
• Efren B. Valencia, Jr., MD, PSC
• Emily Eldridge
• Elevation Therapy, LLC (Elevation Physical and Occupational Therapy)
• Amy Elliott, MS, CCC-SLP
• Lesha Loretta Ellison, PA-C
• Emaline's Home Medical Equipment, LLC
• Thomas N Epperson III, MD
• Family Discount Drugs

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.