Associates in Eye Care, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ASSOCIATES IN EYE CARE, INC.

Practice address

207 Main St
Williamsburg, KY 40769-1121

Phone

(606) 549-0464

Fax

(606) 549-0438

NPI assigned

Sep 27, 2006

Last updated

Mar 22, 2021By 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

Gary Walter Upchurch, ODNPI 1265433478

Title

President and Authorized Official

Phone

(606) 387-5612

Specialties & licenses 1

Addresses

Other identifiers 11

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Associates in Eye Care, Inc.

  • Optometrist
  • Russell Springs, KY
  • NPI 1437691276

  O20050513000284

  Same enrollment
• Associates in Eye Care, Inc.

  • Optometrist
  • Somerset, KY
  • NPI 1649377177

  O20050513000284

  Same enrollment
• Associates in Eye Care, Inc.

  • Optometrist
  • Albany, KY
  • NPI 1720190101

  O20050513000284

  Same enrollment
• Associates in Eye Care, Inc.

  • Optometrist
  • Whitley City, KY
  • NPI 1760573497

  O20050513000284

  Same enrollment

Locations

Practitioners 6

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.

• Gary Walter Upchurch, OD

  • Optometrist
  • Albany, KY
  • NPI 1265433478
  Authorized official Same address or phone
• Meg H Emmert, OD

  • Optometrist
  • Albany, KY
  • NPI 1770471526
  NPD
• Stephen M McKinley, OD

  • Optometrist
  • Whitley City, KY
  • NPI 1902903511
  NPD
• Eric Todd Overley, O.D.

  • Optometrist
  • Williamsburg, KY
  • NPI 1427054949
  NPD
• Matthew Testa, OD

  • Optometrist
  • Williamsburg, KY
  • NPI 1023674488
  NPD
• Timothy A Sparkman, O.D.

  • Optometrist
  • Somerset, KY
  • NPI 1134409790
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1457442188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306",
            "city": "FERGUSON",
            "state": "KY",
            "postal_code": "425330306",
            "telephone_number": "606-492-2211",
            "fax_number": "606-676-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MAIN ST",
            "city": "WILLIAMSBURG",
            "state": "KY",
            "postal_code": "407691121",
            "telephone_number": "606-549-0464",
            "fax_number": "606-549-0438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "UPCHURCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PRESIDENT AND AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "606-387-5612",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902161",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB8623",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID # FOR DR. ERIC TODD OVERLEY",
            "identifier": "77012904",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "CP0230:006",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUMHEALTH VISION",
            "identifier": "62082",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN FOR DR. ERIC TODD OVERLEY",
            "identifier": "0279105",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN FOR DR. STEPHEN MCKINLEY",
            "identifier": "0279109",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100210000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTN/BLUECARE/TENNCARE",
            "identifier": "174791",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q048371",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID # FOR DR. STEPHEN MCKINLEY",
            "identifier": "7100010460",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "COMPULINK",
            "affiliation": "N",
            "endpointDescription": "SECURE SOFTWARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ELECTRONIC HEALTH RECORDS",
            "address_1": "207 Main St",
            "city": "Williamsburg",
            "state": "KY",
            "country_code": "US",
            "postal_code": "407691121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenneth Alcorn, LCSW
• American Health Management, Inc.
• Austin Lane Anderson, FNP-BC
• Kayla L Anderson, PT, DPT
• Appalachia Health Services LLC (Appalachia Health Services)
• Richard W Bailey, MD
• Alexis Baker
• Lyndsay Erin Baker
• Jessica Nicole Ball
• Rebecca Banfield, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.

Verify at the official NPI Registry.