Central Kentucky Optometric Associates PSC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC

Doing business as

Uptown EyeCare

Practice address

1578 Highway 44 E Unit 7
Shepherdsville, KY 40165-7172

Phone

(502) 543-0646

Fax

(502) 543-0648

NPI assigned

Sep 26, 2007

Last updated

Jan 26, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSCAs reported in NPPES

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

Authorized official

Name

Dr. Patricia Mary Hollingsworth-Cecconi, ODNPI 1851396592

Title

Optometrist/Secretary/Treasurer

Phone

(270) 692-1871

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Uptown EyeCare Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Kentucky Optometric Associates PSC

  • Optometrist
  • Springfield, KY
  • NPI 1114964681

  O20050914000929

  Same enrollment
• Central Kentucky Optometric Associates PSC

  • Optometrist
  • Lebanon, KY
  • NPI 1902843378

  O20050914000929

  Same enrollment

Part of

Central Kentucky Optometric Associates PSC

Locations

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.

• Patricia Mary Hollingsworth-Cecconi, O.D.

  • Optometrist
  • Lebanon, KY
  • NPI 1851396592
  Authorized official Same address or phone
• Michael Gerard Kelly, O.D.

  • Optometrist
  • Shepherdsville, KY
  • NPI 1154353134
  NPD (past)

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1558558361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W HIGH ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331428",
            "telephone_number": "270-692-1871",
            "fax_number": "270-692-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 HIGHWAY 44 E UNIT 7",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401657172",
            "telephone_number": "502-543-0646",
            "fax_number": "502-543-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC",
        "enumeration_date": "2007-09-26",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH-CECCONI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "OPTOMETRIST/SECRETARY/TREASURER",
        "authorized_official_telephone_number": "270-692-1871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1558558361",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Dawn Cardwell, DMD
• Mariah C Carrico, LCSW
• Barbara Carter
• Christina N. Caswell, PT
• Leslie Brooke Caughron, APRN
• Katie Louise Chasteen Mason, LMT
• Thomas Cherry, LMFT
• Bryana Elizabeth Clark, PHARMD
• Jessica Lynn Clark, PHARMD
• Clarkson Optometry Midwest Inc. (20/20 EyeCare)

• Optometrist in Shepherdsville, KY
• Providers in Shepherdsville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.