Active NPI
Myers Optometry P.S.C.
- Optometrist
- Pikeville, KY
National Provider Identifier
1346407947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0966DT
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11973 | Other | KY | CHA |
| 77009660 | Medicaid | KY | |
| 1388094 | Other | KY | UNITED MINE WORKERS ASSOCIATION |
National Provider Directory
National Provider DirectoryLocations
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.