Organization Active NPI

Myers Optometry P.S.C.

  • Optometrist
  • Pikeville, KY
National Provider Identifier
1346407947
Registry record updated Oct 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0966DT Issued in KY
Legal business name
MYERS OPTOMETRY P.S.C.
Practice address
109 Caroline Ave
Pikeville, KY 41501-1101
Phone
(606) 437-7587
Fax
(606) 437-7035
NPI assigned
May 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2008

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

Authorized official

Name
Dr. Mark R Myers, OD
Title
Owner
Phone
(606) 437-7587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0966DT KY Primary

Addresses

Primary practice location

109 Caroline Ave
Pikeville, KY 41501-1101

Mailing address

PO Box 260
Pikeville, KY 41502-0260
Phone (606) 437-7587

Other identifiers 3

IdentifierTypeStateIssuer
11973OtherKYCHA
77009660MedicaidKY
1388094OtherKYUNITED MINE WORKERS ASSOCIATION

National Provider Directory

National Provider Directory

Locations

109 Caroline Ave
Pikeville, KY 41501
Phone (606) 437-7587

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224028800000",
    "number": "1346407947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415020260",
            "telephone_number": "606-437-7587",
            "fax_number": "606-437-7035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 CAROLINE AVE",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415011101",
            "telephone_number": "606-437-7587",
            "fax_number": "606-437-7035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYERS OPTOMETRY P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-10-15",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-437-7587",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0966DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "11973",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77009660",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED MINE WORKERS ASSOCIATION",
            "identifier": "1388094",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.