Organization Active NPI

Downing-McPeak Vision Centers

  • Optometrist
  • Glasgow, KY
National Provider Identifier
1356552301
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DOWNING-MCPEAK VISION CENTERS
Practice address
1507 Bravo Blvd
Glasgow, KY 42141-3478
Phone
(270) 651-2181
Fax
(270) 651-2183
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pam Garmon
Title
Business Office Manager
Phone
(270) 651-2181

Specialties & licenses 1

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

Addresses

Primary practice location

1507 Bravo Blvd
Glasgow, KY 42141-3478

Mailing address

1507 Bravo Blvd
Glasgow, KY 42141-3478
Phone (270) 651-2181

Other identifiers 1

IdentifierTypeStateIssuer
7790285600MedicaidKY

Other names 1

  • OD GROUP Other name

National Provider Directory

National Provider Directory
Tax ID family
Downing McPeak Vision C3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356552301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 BRAVO BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413478",
            "telephone_number": "270-651-2181",
            "fax_number": "270-651-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 BRAVO BLVD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413478",
            "telephone_number": "270-651-2181",
            "fax_number": "270-651-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNING-MCPEAK VISION CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARMON",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "270-651-2181"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7790285600",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OD GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.