Organization Active NPI

Max M Downey OD PSC

Doing business as Downey eye clinic

  • Optometrist
  • Columbia, KY
National Provider Identifier
1487697298
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAX M DOWNEY OD PSC
Doing business as
Downey eye clinic
Practice address
1463 Campbellsville Rd
Columbia, KY 42728-2263
Phone
(270) 384-6043
Fax
(270) 384-0672
NPI assigned
Jun 13, 2006
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Jacob Burton, ODNPI 1629324918
Title
Owner
Phone
(270) 384-6043

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1463 Campbellsville Rd
Columbia, KY 42728-2263

Mailing address

1463 Campbellsville Rd
Columbia, KY 42728-2263
Phone (270) 384-6043

Other names 1

  • Downey eye clinic Doing business as

National Provider Directory

National Provider Directory

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

360 Keen St
#300
Burkesville, KY 42717
Phone (270) 864-2390

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1487697298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1463 CAMPBELLSVILLE RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282263",
            "telephone_number": "270-384-6043",
            "fax_number": "270-384-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1463 CAMPBELLSVILLE RD",
            "city": "COLUMBIA",
            "state": "KY",
            "postal_code": "427282263",
            "telephone_number": "270-384-6043",
            "fax_number": "270-384-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX M DOWNEY OD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-384-6043",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Downey eye clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.