South East Eyecare PSC

Primary specialty

OpticianTaxonomy code 156FX1800X

License

165742 Issued in KY

Legal business name

SOUTH EAST EYECARE PSC

Practice address

1707 Falls Road Plaza
Suite U-4
Corbin, KY 40701

Phone

(606) 528-7336

Fax

(606) 523-9189

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa A Nicholas, ABOCNPI 1598229098

Title

Optician

Phone

(606) 528-7336

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lisa Nicholas

  • Optician
  • Corbin, KY
  • NPI 1598229098
  NPD (past) Authorized official

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609071679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 FALLS ROAD PLAZA",
            "address_2": "SUITE U-4",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-528-7336",
            "fax_number": "606-523-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 FALLS ROAD PLAZA",
            "address_2": "SUITE U-4",
            "city": "CORBIN",
            "state": "KY",
            "postal_code": "40701",
            "telephone_number": "606-528-7336",
            "fax_number": "606-523-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST EYECARE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "606-528-7336",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ABOC"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "165742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Nicole Smith, APRN
• Jerri Melissa Smitley, MA
• Jason Eric Snell
• Linda Ann Snyder, MSSW, CSW
• Soulistic Counseling LLC
• Southeast Kentucky Audiology Services Inc.
• Southeast Kentucky Speech Pathology Services, Inc.
• Southeast Kentucky Speech Pathology, LLC
• Southeast Oral and Maxillofacial Surgery Associates
• Southeastern Kentucky Physical Therapy Clinic Inc

• Optician in Corbin, KY
• Providers in Corbin, KY by specialty
• Optician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.