NPIMap

Organization Active NPI

WWR, PSC

Doing business as Georgetown Eye Care

  • Medical Specialty Clinic/Center
  • Georgetown, KY
National Provider Identifier
1689611949
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
WWR, PSC
Doing business as
Georgetown Eye Care
Practice address
103 S Bradford LN
Georgetown, KY 40324-2336
Phone
(859) 321-1029
NPI assigned
Jun 2, 2006
Last updated
Feb 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
Dr. William W. Richardson II, M.D.NPI 1720028483
Title
President
Phone
(859) 321-1029

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary
Optometrist 152W00000X 1845DT KY
Ophthalmology Physician 207W00000X 38932 KY
Ophthalmology Physician 207W00000X 45851 KY

Addresses

Primary practice location

103 S Bradford LN
Georgetown, KY 40324-2336

Mailing address

1299 Standish Way
Lexington, KY 40504-2045
Phone (859) 523-3553

Other names 1

  • Georgetown Eye Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060822000444 KY Part B Supplier - Clinic/Group Practice 8426051947 Receives reassigned benefits from 3 practitioners
Practice locations: Georgetown, KY

National Provider Directory

National Provider Directory

Locations

103 S Bradford Ln
Georgetown, KY 40324
Phone (502) 863-3112

103 S Bradford Ln
Ste 102
Georgetown, KY 40324
Phone (502) 863-3112

Practitioners & affiliated clinicians

Practitioners 4

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": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1689611949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1299 STANDISH WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042045",
            "telephone_number": "859-523-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S BRADFORD LN",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403242336",
            "telephone_number": "859-321-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WWR, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-321-1029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1845DT",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "38932",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "45851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.