Organization Active NPI

Cecil & Assoc Eyecare PLLC

  • Optometrist
  • Elizabethtown, KY
National Provider Identifier
1568776938
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1809DT Issued in KY
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 PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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.NPI 1215249479
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.