Madisonville Discount Eyewear

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1095 Issued in KY

Legal business name

MADISONVILLE DISCOUNT EYEWEAR

Practice address

401 Madison Square Dr Ste 30
Madisonville, KY 42431-2774

Phone

(270) 452-2197

Fax

(270) 825-1026

NPI assigned

Mar 11, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Mel Len Dukes, OPTICAN

Title

Owner / Optican

Phone

(270) 452-2197

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1609017276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MADISON SQUARE DR STE 30",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312774",
            "telephone_number": "270-452-2197",
            "fax_number": "270-825-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MADISON SQUARE DR STE 30",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312774",
            "telephone_number": "270-452-2197",
            "fax_number": "270-825-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISONVILLE DISCOUNT EYEWEAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "DUKES",
        "authorized_official_first_name": "MEL",
        "authorized_official_middle_name": "LEN",
        "authorized_official_title_or_position": "OWNER / OPTICAN",
        "authorized_official_telephone_number": "270-452-2197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "1095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Eyewear Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.