Associates in Eye Care, Inc.
Organization Active NPI Optometrist · Williamsburg, KY
NPI 1457442188 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1457442188
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 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
- Organization subpart
- No
Authorized official
- Name
- Gary Walter Upchurch, OD
- Title
- President and Authorized Official
- Phone
- (606) 387-5612
Other NPIs on the same Medicare enrollment 4
Practitioners 5
-
Meg H Emmert, OD
-
Eric Todd Overley, O.D.
-
Matthew Testa, OD
-
Timothy A Sparkman, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050513000284 | KY | Part B Supplier - Clinic/Group Practice | 7012908643 |
Receives reassigned benefits from 10 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Albany, KY; Russell Springs, KY; Somerset, KY; Whitley City, KY; Williamsburg, KY |
National Provider Directory
Locations
546 Steve Dr
Russell Springs, KY 42642
Phone (270) 866-3177
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | KY | Yes |
Addresses
Primary practice location
207 Main St
Williamsburg, KY 40769-1121
Mailing address
PO Box 306
Ferguson, KY 42533-0306
Phone (606) 492-2211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100210000 | Medicaid | KY | |
| CB8623 | Other | KY | RAILROAD MEDICARE |
| Q048371 | Medicaid | TN | |
| 7100010460 | Other | KY | MEDICAID # FOR DR. STEPHEN MCKINLEY |
| 0279109 | Other | KY | MEDICARE PIN FOR DR. STEPHEN MCKINLEY |
| 77902161 | Medicaid | KY | |
| 62082 | Other | OPTUMHEALTH VISION | |
| 174791 | Other | TN | BCBSTN/BLUECARE/TENNCARE |
| 77012904 | Other | KY | MEDICAID # FOR DR. ERIC TODD OVERLEY |
| 0279105 | Other | KY | MEDICARE PIN FOR DR. ERIC TODD OVERLEY |
| CP0230:006 | Other | TN | EYEMED |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | COMPULINK | Health Information Exchange (HIE) |
Other providers in Williamsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.