Organization Active NPI

Cecil and Associates Eyecare PLLC

  • Optometrist
  • Shelbyville, KY
National Provider Identifier
1336452630
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1809DT Issued in KY
Legal business name
CECIL AND ASSOCIATES EYECARE PLLC
Practice address
500 Taylorsville Rd
Suite a
Shelbyville, KY 40065-8104
Phone
(502) 633-5685
NPI assigned
Jul 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Leslie Cecil, O.D.NPI 1215249479
Title
Optometrist
Phone
(502) 633-5685

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1809DT KY Primary

Addresses

Primary practice location

500 Taylorsville Rd
Suite a
Shelbyville, KY 40065-8104

Mailing address

500 Taylorsville Rd
Suite a
Shelbyville, KY 40065-8104
Phone (502) 633-5685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101008000664 KY Part B Supplier - Clinic/Group Practice 0345432332 Receives reassigned benefits from 1 practitioner
Practice locations: Bardstown, KY

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1336452630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 TAYLORSVILLE RD",
            "address_2": "SUITE A",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658104",
            "telephone_number": "502-633-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TAYLORSVILLE RD",
            "address_2": "SUITE A",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400658104",
            "telephone_number": "502-633-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CECIL AND ASSOCIATES EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-15",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "502-633-5685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1809DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.