Eye Care of Southern Kentucky, PSC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

841DT Issued in KY

Legal business name

EYE CARE OF SOUTHERN KENTUCKY, PSC

Practice address

1407 N Race St
Glasgow, KY 42141-3474

Phone

(270) 651-6652

Fax

(270) 651-9840

NPI assigned

Aug 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen D Ward, OD

Title

President

Phone

(270) 651-6652

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Practitioners 2

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

• Darcy Minton Coomer, OD

  • Optometrist
  • Bowling Green, KY
  • NPI 1598779019
  Medicare reassignment NPD
• Shae Wilson

  • Optometrist
  • Glasgow, KY
  • NPI 1972357382
  Medicare reassignment NPD

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1639325624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474",
            "telephone_number": "270-651-6652",
            "fax_number": "270-651-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N RACE ST",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421413474",
            "telephone_number": "270-651-6652",
            "fax_number": "270-651-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE OF SOUTHERN KENTUCKY, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-651-6652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "KY",
            "license": "841DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley D Emberton
• Russell England, APRN
• Toby Rachelle England, NP
• Teresa Katherine Essex, S.L.P.
• Michelle Mercer Ewing, LPCA
• Ez RX of Glasgow Inc.
• Ezrx of Glasgow Inc.
• Family Home Health Care Inc
• Family Pharmacy of Glasgow,LLC
• Fast Pace Kentucky PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.