Organization Active NPI

Hometown Vision Care LLC

  • Optometrist
  • Henderson, KY
National Provider Identifier
1659665529
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1817DT Issued in KY
Legal business name
HOMETOWN VISION CARE LLC
Practice address
1035 N Elm St
Henderson, KY 42420-2712
Phone
(270) 577-1724
NPI assigned
Jun 8, 2011
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Dr. Sara L Sagez-Barnett, ODNPI 1326359746
Title
Optometrist/Member/Organizer
Phone
(270) 577-1724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1817DT KY Primary

Addresses

Primary practice location

1035 N Elm St
Henderson, KY 42420-2712

Mailing address

1035 N Elm St
Henderson, KY 42420-2712
Phone (270) 577-1724

Other practice location 1

104 S Court St
Morganfield, KY 42437-1458
Phone (270) 577-1724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110722000463 KY Part B Supplier - Clinic/Group Practice 0143498881 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1659665529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202712",
            "telephone_number": "270-577-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202712",
            "telephone_number": "270-577-1724"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 S Court St",
            "address_purpose": "LOCATION",
            "city": "Morganfield",
            "state": "KY",
            "postal_code": "424371458",
            "country_code": "US",
            "telephone_number": "270-577-1724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMETOWN VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-08",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "SAGEZ-BARNETT",
        "authorized_official_first_name": "SARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST/MEMBER/ORGANIZER",
        "authorized_official_telephone_number": "270-577-1724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1817DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.