Active NPI
Cecil & Assoc Eyecare PLLC
- Optometrist
- Elizabethtown, KY
National Provider Identifier
1568776938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1809DT
- Legal business name
- CECIL & ASSOC EYECARE PLLC
- Practice address
- 100 Walmart Dr
Elizabethtown, KY 42701-5548 - Phone
- (270) 765-5218
- NPI assigned
- Jul 28, 2010
- Organization subpart
- Yes
- Parent organization
- CECIL AND ASSOCIATES EYECARE PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie W Cecil, O.D.
- Title
- Optometrist/Owner
- Phone
- (270) 765-5218
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1809DT | KY | Primary |
Addresses
Primary practice location
100 Walmart Dr
Elizabethtown, KY 42701-5548
Mailing address
100 Walmart Dr
Elizabethtown, KY 42701-5548
Phone (270) 765-5218
National Provider Directory
National Provider Directory- Part of
- Cecil Assoc Eyecare PLLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Shelbyville, KY
- NPI 1336452630
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bardstown, KY
- NPI 1215249479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282867200000",
"number": "1568776938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 WALMART DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015548",
"telephone_number": "270-765-5218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WALMART DR",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427015548",
"telephone_number": "270-765-5218"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CECIL & ASSOC EYECARE PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CECIL AND ASSOCIATES EYECARE PLLC",
"enumeration_date": "2010-07-28",
"last_updated": "2010-08-27",
"status": "A",
"authorized_official_last_name": "CECIL",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "270-765-5218",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "KY",
"license": "1809DT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabethtown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.