Eyecare Center Optometrist PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1545DT Issued in KY

Legal business name

EYECARE CENTER OPTOMETRIST PSC

Practice address

114 E Reynolds Rd
Lexington, KY 40517-1248

Phone

(859) 272-2449

NPI assigned

Sep 19, 2007

Last updated

Nov 7, 2008By 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

Dr. William T Reynolds Jr., ODNPI 1174516298

Title

Owner

Phone

(859) 623-3358

Specialties & licenses 2

Addresses

Locations

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.

• William T Reynolds Jr., OD

  • Optometrist
  • Richmond, KY
  • NPI 1174516298
  Authorized official Same address or phone

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1346436888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GIBSON BAY DRIVE",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753448",
            "telephone_number": "859-623-3358",
            "fax_number": "859-623-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E REYNOLDS RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171248",
            "telephone_number": "859-272-2449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTER OPTOMETRIST PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-623-3358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1545DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1644DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gabrielle Eyler, OTD
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• Optometrist in Lexington, KY
• Providers in Lexington, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.