Organization Active NPI

Summers Optical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Hopkinsville, KY
National Provider Identifier
1497803043
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUMMERS OPTICAL, INC.
Practice address
209 W 15TH St
Hopkinsville, KY 42240-2035
Phone
(270) 886-8928
Fax
(270) 886-4773
NPI assigned
Jan 8, 2007
Last updated
Aug 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Mrs. Barbara J Summers
Title
President
Phone
(270) 886-8928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

209 W 15TH St
Hopkinsville, KY 42240-2035

Mailing address

PO Box 704
Hopkinsville, KY 42241-0704
Phone (270) 886-8928

Other identifiers 4

IdentifierTypeStateIssuer
000000215307OtherKYANTHEM BCBS
52800968MedicaidKY
32417OtherKYAVESIS
KY0683OtherKYEYEMED

National Provider Directory

National Provider Directory

Locations

209 W 15th St
Hopkinsville, KY 42240
Phone (270) 886-8129

Practitioners & affiliated clinicians

Practitioners 2

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1497803043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 704",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422410704",
            "telephone_number": "270-886-8928",
            "fax_number": "270-886-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 15TH ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402035",
            "telephone_number": "270-886-8928",
            "fax_number": "270-886-4773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERS OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-886-8928",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000215307",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52800968",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "32417",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "KY0683",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.