Dr Todd M Maynard PSC
Organization Active NPI Optometrist · Inez, KY
NPI 1306029384 · NPPES record last updated Aug 31, 2010
Key facts
- NPI
- 1306029384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 1295DT (KY)
- Legal business name
- DR TODD M MAYNARD PSC
- Practice address
- 64 Kirk Plaza
Inez, KY 41224-1307 - Phone
- (606) 298-7768
- Fax
- (606) 298-4839
- NPI assigned
- Dec 12, 2007
- Organization subpart
- No
Authorized official
- Name
- Todd Maynard, O.D.
- Title
- President
- Phone
- (606) 298-7768
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 1295DT | KY | Yes |
Addresses
Primary practice location
64 Kirk Plaza
Inez, KY 41224-1307
Mailing address
PO Box 1307
Inez, KY 41224-1307
Phone (606) 298-7768
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000051567 | Other | KY | ANTHEM BC/BS |
| 7100036460 | Medicaid | KY | |
| 410033298 | Other | MEDICARE RAILROAD |
Other providers in Inez, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.