Garbig Family Eye Care PSC

Key facts

NPI

1467734657

Entity type

Organization (NPI type 2)

Primary specialty

Optometrist 152W00000X

License

KY1108DT (KY)

Legal business name

GARBIG FAMILY EYE CARE PSC

Practice address

1400 Gloria Terrell Dr
Suite H
Wilder, KY 41076-9188

Phone

(859) 441-6540

Fax

(859) 572-4822

NPI assigned

Sep 13, 2011

Organization subpart

No

Authorized official

Name

Douglas Garbig, O.D. NPI 1104883636

Title

President

Phone

(859) 441-6540

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

• Douglas John Garbig, O.D. Optometrist · Wilder, KY · NPI 1104883636
  Medicare reassignment Care Compare group NPD Authorized official KY · OPTOMETRIST
• Kristine Kerestan Garbig, O.D. Optometrist · Wilder, KY · NPI 1043277577
  Medicare reassignment Care Compare group NPD KY · OPTOMETRIST
• Matthew D'Arsie, OD Optometrist · Paris, KY · NPI 1831934769
  Medicare reassignment NPD KY · OPTOMETRIST

Medicare participation

Medicare fee-for-service enrollment

Enrolled in KY

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 16, 2014.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1467734657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 GLORIA TERRELL DR",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "410769188",
            "telephone_number": "859-441-6540",
            "fax_number": "859-572-4822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 GLORIA TERRELL DR",
            "address_2": "SUITE H",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "410769188",
            "telephone_number": "859-441-6540",
            "fax_number": "859-572-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARBIG FAMILY EYE CARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "GARBIG",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-441-6540",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "KY1108DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "KY1196DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011088",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77011963",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilder, KY

• Anne Wier Eason, LCSW
• Ann Catherine Evans, MBA, ATC
• Christopher Robert Fisher, BA
• Abigail Lee Foster, BSW
• Jun Rainer Fularz, BSW
• Douglas John Garbig, O.D.
• Jennifer Anne George McGraw, MA ATR BC
• Alondra Griffith, MSW, CSW
• Nichole B Haley, MSN, APRN, CPNP-PC
• Steven Hannegan, D.C.

All providers in Wilder, KY · Optometrist in Kentucky