Active NPI
J. Kendall Cecil
Doing business as East Kentucky Eyecare
- Optometrist
- Pikeville, KY
National Provider Identifier
1396927935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1043DT
- Legal business name
- J. KENDALL CECIL
- Doing business as
- East Kentucky Eyecare
- Practice address
- 3469 N Mayo TRL
Pikeville, KY 41501-3265 - Phone
- (606) 432-5800
- Fax
- (606) 432-1728
- NPI assigned
- Dec 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Newsome
- Title
- Office Manager
- Phone
- (606) 432-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1043DT | KY | Primary |
Addresses
Primary practice location
3469 N Mayo TRL
Pikeville, KY 41501-3265
Mailing address
3469 N Mayo TRL
Pikeville, KY 41501-3265
Phone (606) 432-5800
Other names 1
- East Kentucky Eyecare
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
255 Church St
Ste 102
Pikeville, KY 41501
Phone (606) 637-2273
3469 N Mayo Trl
Pikeville, KY 41501
Phone (606) 432-5800
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Pikeville, KY
- NPI 1053354571
-
- Optometrist
- Pikeville, KY
- NPI 1497238547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628467200000",
"number": "1396927935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3469 N MAYO TRL",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013265",
"telephone_number": "606-432-5800",
"fax_number": "606-437-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3469 N MAYO TRL",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415013265",
"telephone_number": "606-432-5800",
"fax_number": "606-432-1728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J. KENDALL CECIL",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-05",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A",
"authorized_official_last_name": "NEWSOME",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "606-432-5800"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "KY",
"license": "1043DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "East Kentucky Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.