Teresa L Madden, PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0955DT Issued in KY

Legal business name

TERESA L MADDEN, PSC

Practice address

231 White St
Manchester, KY 40962-1214

Phone

(606) 598-2219

Fax

(606) 598-7972

NPI assigned

Jan 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Teresa Lynn Madden, O.D.

Title

Ceo

Phone

(606) 598-2219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1376729798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 WHITE ST",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409621214",
            "telephone_number": "606-598-2219",
            "fax_number": "606-598-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 WHITE ST",
            "city": "MANCHESTER",
            "state": "KY",
            "postal_code": "409621214",
            "telephone_number": "606-598-2219",
            "fax_number": "606-598-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERESA L MADDEN, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-16",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "606-598-2219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0955DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.