Active NPI
Max M Downey OD PSC
- Optometrist
- Columbia, KY
National Provider Identifier
1487697298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MAX M DOWNEY OD PSC
- Practice address
- 1463 Campbellsville Rd
Columbia, KY 42728-2263 - Phone
- (270) 384-6043
- Fax
- (270) 384-0672
- NPI assigned
- Jun 13, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Jacob Burton, OD
- Title
- Owner
- Phone
- (270) 384-6043
Member organizations 2
Organizations listed as members of this organization in the National Provider Directory.
National Provider Directory
National Provider DirectoryLocations
360 Keen St
#300
Burkesville, KY 42717
Phone (270) 864-2390
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1463 Campbellsville Rd
Columbia, KY 42728-2263
Mailing address
1463 Campbellsville Rd
Columbia, KY 42728-2263
Phone (270) 384-6043
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77009793 | Medicaid | KY | |
| 77904126 | Medicaid | KY |
Other names 1
NPPES NPI Registry- Downey eye clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2024.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77009793",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77904126",
"state": "KY"
}
],
"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.