Active NPI
Bernardette Quimby
- Optician
- Radcliff, KY
National Provider Identifier
1558096008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 260338
- Practice address
- 1165 Walmart Way
Radcliff, KY 40160-1471 - Phone
- (270) 352-2707
- NPI assigned
- Jul 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 260338 | KY | Primary |
Addresses
Primary practice location
1165 Walmart Way
Radcliff, KY 40160-1471
Mailing address
1165 Walmart Way
Radcliff, KY 40160-1471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1558096008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1165 WALMART WAY",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1165 WALMART WAY",
"city": "RADCLIFF",
"state": "KY",
"postal_code": "401601471",
"telephone_number": "270-352-2707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUIMBY",
"first_name": "BERNARDETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "KY",
"license": "260338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Radcliff, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.