Pec Holding, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1488DT Issued in KY

Legal business name

PEC HOLDING, PLLC

Practice address

10001 Taylorsville Rd Ste B
Louisville, KY 40299-3116

Phone

(502) 290-6444

Fax

(502) 290-5645

NPI assigned

Apr 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darren Morgan Patrick, ODNPI 1043206105

Title

Manager

Phone

(502) 290-6444

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• River City Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

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

• Darren Morgan Patrick, OD

  • Optometrist
  • Louisville, KY
  • NPI 1043206105
  Medicare reassignment Care Compare group Authorized official
• Thomas G. Brelage, O.D.

  • Optometrist
  • Bardstown, KY
  • NPI 1083635676
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1609096247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 TAYLORSVILLE RD STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993116",
            "telephone_number": "502-290-6444",
            "fax_number": "502-290-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 TAYLORSVILLE RD STE B",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402993116",
            "telephone_number": "502-290-6444",
            "fax_number": "502-290-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEC HOLDING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "MORGAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "502-290-6444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1488DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903565",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DA9112",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River City Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lavonne Pearson
• Luke Henry Pearson, MD
• Terry Andrew Pearson, PSY.D.
• Thomas Pearson
• Derrick Pease
• Monica Bagatsing Pecache, MD
• Angela Rambalakos Pecha, MD
• Jamie Peck
• John R Peck Jr.
• Alessandro Pedercini

• Optometrist in Louisville, KY
• Providers in Louisville, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.