Raymond V Mecca MD, PSC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

18044 Issued in KY

Legal business name

RAYMOND V MECCA MD, PSC

Practice address

2119 Carter Ave
Ashland, KY 41101

Phone

(606) 329-2243

Fax

(606) 324-2395

NPI assigned

Jul 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jenny S Vallance

Title

Insurance Coordinator

Phone

(606) 329-2243

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mecca Eye Clinic Doing business as

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1487854261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-329-2243",
            "fax_number": "606-324-2395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 CARTER AVE",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "41101",
            "telephone_number": "606-329-2243",
            "fax_number": "606-324-2395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND V MECCA MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "VALLANCE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "606-329-2243",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "KY",
            "license": "18044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64180441",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mecca Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Rawlins, RN
• Daniel B Ray, M.D.
• Kenneth Albert Ray, DBH, MED
• Peter Damian Ray, MD
• Raymond V Mecca MD PSC
• Muhummad Asif Razak, D.C.
• Mary Martha Reams, MD
• Lindsey Redoutey, LPCA
• Alexis Reed, CSA
• Roi Reed, D.O.

• Ophthalmologic Surgery Clinic/Center in Ashland, KY
• Providers in Ashland, KY by specialty
• Ophthalmologic Surgery Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.