Jeffery L Creech PSC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

License

799DT Issued in KY

Legal business name

JEFFERY L CREECH PSC

Practice address

330 Main St
Paris, KY 40361-2006

Phone

(859) 987-2292

Fax

(859) 987-2302

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Jeffery L Creech, O,D.NPI 1255496485

Title

Owner

Phone

(859) 987-2292

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffery Lee Creech, O.D.

  • Optometrist
  • Paris, KY
  • NPI 1255496485
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1619304581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403620162",
            "telephone_number": "859-987-2292",
            "fax_number": "859-987-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MAIN ST",
            "city": "PARIS",
            "state": "KY",
            "postal_code": "403612006",
            "telephone_number": "859-987-2292",
            "fax_number": "859-987-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY L CREECH PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "CREECH",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-987-2292",
        "authorized_official_credential": "O,D."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "KY",
            "license": "799DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77007995",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Innate Inc
• Integrity Personal Physicians, PLLC
• Rebecca Jean Isaacs, LMT
• J Michael Baird MD PSC
• Allison Wilshire Jarrett, DDS
• Hannah Jolly
• David James Keding, DC
• Jennifer Marie Kelley
• Natalie Kelly, SLP
• Kent L Davis

• Ophthalmologic Surgery Clinic/Center in Paris, KY
• Providers in Paris, KY by specialty
• Ophthalmologic Surgery Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.