C Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1493DT Issued in KY

Legal business name

C EYE CARE PLLC

Doing business as

Elizabethtown Eye Care

Practice address

103 Diecks Dr
Elizabethtown, KY 42701-2444

Phone

(270) 769-1397

Fax

(270) 765-4899

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Cristina Villanueva Patrick, O.D.NPI 1417943580

Title

Owner

Phone

(502) 418-5677

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabethtown Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Cristina Villanueva Patrick, OD

  • Optometrist
  • Elizabethtown, KY
  • NPI 1417943580
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1366814824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-769-1397",
            "fax_number": "270-765-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-769-1397",
            "fax_number": "270-765-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "VILLANUEVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-418-5677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1493DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77000222",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabethtown Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandy Buster
• Latisha N Butler, CASE MANAGEMENT
• Elizabeth Ann Butts
• Sarah Rae Byrd, O.D.
• Susie Walker Byrd
• Raisa Caffey, CADC
• Stacie Ann Cain, APRN
• Abigail Gipson Calhoun, LPCA
• Rhonda Faye Calhoun, BA
• Justin Call

• Optometrist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.