Southeast Vision Associates, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1186DT Issued in KY

Legal business name

SOUTHEAST VISION ASSOCIATES, LLC

Practice address

120 Daniel Boone PLZ
Hazard, KY 41701-5335

Phone

(606) 487-8949

Fax

(606) 487-0279

NPI assigned

Jul 2, 2009

Organization subpart

No

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

Authorized official

Name

Thomas W Watkins, O.D.

Title

Optometrist

Phone

(606) 487-8949

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Lisa Nicholas

  • Optician
  • Corbin, KY
  • NPI 1598229098
  NPD (past)
• Kristi Watts, APRN

  • Nurse Practitioner
  • Hazard, KY
  • NPI 1174547269
  NPD (past)

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1396974077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DANIEL BOONE PLZ",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015335",
            "telephone_number": "606-487-8949",
            "fax_number": "606-487-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DANIEL BOONE PLZ",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417015335",
            "telephone_number": "606-487-8949",
            "fax_number": "606-487-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST VISION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "606-487-8949",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1186DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William John Smith, MSPT
• Yvonne Smith, RN
• Soaring Potentials LLLP
• Son Shine Health and Wellness Center, PSC.
• Pamela Sorrell
• Southern Medical Partners
• Southern Medical Partners, LLC
• Sherry Lynn Southern
• Kurt Sowers, MD
• Laura Deneer Spare

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2009; 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.