Active NPI
Eyecare Network LTD
- Certified Registered Nurse Anesthetist
- Maysville, KY
National Provider Identifier
1497989529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1034014
- Legal business name
- EYECARE NETWORK LTD
- Practice address
- 1360 Medical Park Dr
Maysville, KY 41056-9621 - Phone
- (606) 759-5341
- NPI assigned
- May 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan N. Prater, M.D.
- Title
- Owner
- Phone
- (606) 759-5341
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 1034014 | KY | Primary |
Addresses
Primary practice location
1360 Medical Park Dr
Maysville, KY 41056-9621
Mailing address
1360 Medical Park Dr
Maysville, KY 41056-9621
Phone (606) 759-5341
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 74328741 | Medicaid | KY | |
| 74900440 | Medicaid | KY |
National Provider Directory
National Provider Directory- Tax ID family
- Eyecare Network LTD
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ambulatory Surgical Clinic/Center
- Maysville, KY
- NPI 1386771178
-
- Specialist
- Maysville, KY
- NPI 1538360177
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Maysville, KY
- NPI 1043375348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241395200000",
"number": "1497989529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 MEDICAL PARK DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569621",
"telephone_number": "606-759-5341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 MEDICAL PARK DR",
"city": "MAYSVILLE",
"state": "KY",
"postal_code": "410569621",
"telephone_number": "606-759-5341"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE NETWORK LTD",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-04",
"last_updated": "2009-05-04",
"status": "A",
"authorized_official_last_name": "PRATER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "606-759-5341",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "1034014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74328741",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "74900440",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maysville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.