Eyecare Network LTD

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYECARE NETWORK LTD

Practice address

1360 Medical Park Dr
Maysville, KY 41056-9621

Phone

(606) 759-5341

Fax

(606) 759-7393

NPI assigned

Feb 27, 2007

Last updated

Sep 28, 2017By 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

Mrs. Sue Prater

Title

Office Manager

Phone

(606) 759-5341

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386771178. Details of each certification follow.

• CCN 18C0001033 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 18C0001033

Legal name

EYECARE NETWORK, LTD

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Oct 25, 2001

Last certification

Apr 11, 2018

Ownership / control type

Proprietary

Facility address

1360 Medical Park Drive
Maysville, KY 41056

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eyecare Network LTD

  • Specialist
  • Maysville, KY
  • NPI 1538360177

  8628973302

  Same PAC ID

Tax ID family

Eyecare Network LTD3 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.

• Eyecare Network LTD

  • Certified Registered Nurse Anesthetist
  • Maysville, KY
  • NPI 1497989529
  NPD tax ID
• Eyecare Network LTD

  • Specialist
  • Maysville, KY
  • NPI 1538360177
  NPD tax ID

Interoperability endpoints

• FHIR API: https://eyecarenetworkltd.ef.prod.fhir.ema-api.com/fhir/r4/

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.

• Bryan Neale Prater, MD

  • Ophthalmology Physician
  • Maysville, KY
  • NPI 1043375348
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506556800000",
    "number": "1386771178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 MEDICAL PARK DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569621",
            "telephone_number": "606-759-5341",
            "fax_number": "606-759-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MEDICAL PARK DR",
            "city": "MAYSVILLE",
            "state": "KY",
            "postal_code": "410569621",
            "telephone_number": "606-759-5341",
            "fax_number": "606-759-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE NETWORK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2017-09-28",
        "status": "A",
        "authorized_official_last_name": "PRATER",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "606-759-5341",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36001154",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey L Emmons, PHARM.D.
• Tosha Chenelle Emmons
• Entlc, PSC
• Envision Behavioral Health Services, Inc.
• Tera Evans, CSW
• Eyecare Network LTD
• Eyecare Network LTD
• Family Practice Associates of Maysville Inc (Family Practice Assoc of Maysv)
• Kelley D Faris, D.M.D.
• Fast Pace Kentucky PLLC

• Ambulatory Surgical Clinic/Center in Maysville, KY
• Providers in Maysville, KY by specialty
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.