John Kenyon Eye Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

01025213 Issued in IN

Legal business name

JOHN KENYON EYE CENTER

Practice address

1305 Wall St
Jeffersonville, IN 47130-3853

Phone

(812) 288-9011

Fax

(812) 288-7479

NPI assigned

Aug 9, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shelley Renee Gast

Title

Controller

Phone

(812) 258-3026

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609877083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 WALL ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303853",
            "telephone_number": "812-288-9011",
            "fax_number": "812-288-7479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 WALL ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303853",
            "telephone_number": "812-288-9011",
            "fax_number": "812-288-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KENYON EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GAST",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "812-258-3026",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01025213",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "15811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer B Catlett MD LLC
• Jeuti B. Wylde, MD PSC (Jeffersonville Psychiatric Associates)
• Destiny Jewell, RBT
• Jewish Hospital & St. Mary's Healthcare, Inc. (Frazier Rehab Institute Southern Indiana YMCA)
• Geoffrey Jeyasingham
• Brittany Johnson, MSSW
• Haley Johnson, RBT
• Junice L. Johnson, MSN, NP-C
• Logan Lee Johnson
• Patricia M. Johnson, LMFT

• Ophthalmology Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Ophthalmology Physician in Indiana

• 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.