Organization Active NPI

Kentucky Optical Express, Inc.

  • Optician
  • Mount Sterling, KY
National Provider Identifier
1679745756
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
KENTUCKY OPTICAL EXPRESS, INC.
Practice address
122 Stone Trace Drive
Suite B
Mount Sterling, KY 40353
Phone
(888) 497-2117
Fax
(859) 497-2542
NPI assigned
Mar 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Dr. Wallace Bullard Guerrant Jr., O.D.
Title
President and Ceo
Phone
(888) 497-2117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

122 Stone Trace Drive
Suite B
Mount Sterling, KY 40353

Mailing address

122 Stone Trace Dr.
Suite B
Mount Sterling, KY 40353-5242
Phone (888) 497-2117

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.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1679745756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 STONE TRACE DR.",
            "address_2": "SUITE B",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403535242",
            "telephone_number": "888-497-2117",
            "fax_number": "859-497-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 STONE TRACE DRIVE",
            "address_2": "SUITE B",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "888-497-2117",
            "fax_number": "859-497-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY OPTICAL EXPRESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-28",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "GUERRANT",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "BULLARD",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "888-497-2117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.