WM Dwayne Sizemore OD PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

968DT Issued in KY

Legal business name

WM DWAYNE SIZEMORE OD PSC

Practice address

29 Maple St
Whitesburg, KY 41858-7494

Phone

(606) 633-5200

Fax

(606) 633-1500

NPI assigned

Mar 10, 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) 633-5200

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Eye Care Cntr Doing business as

Locations

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000048484",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "1417025",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "410009550",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77901627",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0624470001",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "3155",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C13977",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Care Cntr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitesburg Medical Center Pharmacy, Inc.
• Whitesburg Women'S Center, LLC
• Devin N Whitt, APRN
• William M Collins
• Debbie Kaye Williams, O.D.
• Jaclyn Felicia Wright-Dinsmore, LCSW
• Bessie Ellen Wright, ARNP
• Chloe Wright, APRN
• Taylor Brent Wright, RN
• Heather L. Yates, APRN

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

• 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.