Eyecare Associates of Kentucky, PSC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE ASSOCIATES OF KENTUCKY, PSC

Practice address

1748 Broadway St
Paducah, KY 42001-2706

Phone

(270) 443-9904

Fax

(270) 575-0717

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By 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

Mark Owens, O.D.NPI 1831164599

Title

President

Phone

(270) 443-9904

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Practitioners 1

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.

• Mark L Owens, O.D.

  • Optometrist
  • Paducah, KY
  • NPI 1831164599
  Authorized official Same address or phone

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1336420082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420012706",
            "telephone_number": "270-443-9904",
            "fax_number": "270-575-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420012706",
            "telephone_number": "270-443-9904",
            "fax_number": "270-575-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF KENTUCKY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-443-9904",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Alexis Etherton
• Chelsea Layne Evans, APRN
• Kimberley Evans, APRN
• Extendicare Homes, Inc. (Medco Center of Paducah)
• Eye Center of Paducah, LLC
• Kimberly Fairchild, COTA
• Megan Brown Falder
• Family Life Medical and Prosthetics, LLC
• Family Medicine Associates of Western Kentucky, PLLC
• Svetlana Famina, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.