Organization Active NPI

WM Dwayne Sizemore OD PSC

Doing business as Eye Care Cntr

  • Optometrist
  • Whitesburg, KY
National Provider Identifier
1295867703
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
968DT Issued in KY
Legal business name
WM DWAYNE SIZEMORE OD PSC
Doing business as
Eye Care Cntr
Practice address
29 Maple St
Whitesburg, KY 41858-7494
Phone
(606) 633-5200
Fax
(606) 633-1500
NPI assigned
Mar 10, 2007
Last updated
Aug 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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) 633-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 968DT KY Primary

Addresses

Primary practice location

29 Maple St
Whitesburg, KY 41858-7494

Mailing address

29 Maple St
Whitesburg, KY 41858-7494
Phone (606) 633-5200

Other names 1

  • Eye Care Cntr Doing business as

National Provider Directory

National Provider Directory

Locations

29 Maple St
Whitesburg, KY 41858
Phone (606) 436-3313

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1295867703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MAPLE ST",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587494",
            "telephone_number": "606-633-5200",
            "fax_number": "606-633-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MAPLE ST",
            "city": "WHITESBURG",
            "state": "KY",
            "postal_code": "418587494",
            "telephone_number": "606-633-5200",
            "fax_number": "606-633-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WM DWAYNE SIZEMORE OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2008-08-27",
        "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": "606-633-5200",
        "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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Cntr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitesburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.