Bluegrass Family Eyecare Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

0956DT Issued in KY

Legal business name

BLUEGRASS FAMILY EYECARE INC.

Practice address

1303 Main Street
Beaver Dam, KY 42320

Phone

(270) 274-3294

Fax

(270) 274-4811

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan L. Shrewsbury, O.D.NPI 1326050329

Title

President

Phone

(270) 274-3294

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Jonathan L Shrewsbury, O.D.

  • Optometrist
  • Beaver Dam, KY
  • NPI 1326050329
  Medicare reassignment Care Compare group NPD Authorized official
• Mallory Sanderfur Roberts, O.D.

  • Optometrist
  • Calhoun, KY
  • NPI 1679668198
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1598838385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MAIN STREET",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "42320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MAIN STREET",
            "city": "BEAVER DAM",
            "state": "KY",
            "postal_code": "42320",
            "telephone_number": "270-274-3294",
            "fax_number": "270-274-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS FAMILY EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "SHREWSBURY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-274-3294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "0956DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903607",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Millicent Marie Babbs, MD
• Beaver Dam Health Care Manor Inc (Beaver Dam Health Care Manor)
• Beaver Dam Nursing & Rehab Center, Inc
• Kimberly J Bivens, L.M.T.
• Bluegrass Family Dentistry, PLLC
• Bluegrass Regional Healthcare
• Brenda Lee Bradford, CRNA
• Bright Futures Behavioral Health
• Tyler Cherry, DPT
• Coffman Family Care and Wellness PLLC

• Optometrist in Beaver Dam, KY
• Providers in Beaver Dam, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.