Eyedeal Eyecare II PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1345DT Issued in KY

Legal business name

EYEDEAL EYECARE II PLLC

Practice address

1370 W 5TH St
Suite 2
London, KY 40741-1615

Phone

(606) 877-1101

Fax

(606) 878-6356

NPI assigned

May 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Andrew Durant, O.D.

Title

Owner Operator

Phone

(606) 877-1101

Specialties & licenses 1

Addresses

Other identifiers 7

Locations

Practitioners 2

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.

• Tamela Marie Brown-Murray, O.D.

  • Optometrist
  • Somerset, KY
  • NPI 1912945759
  NPD (past)
• Jean Ann Mathis, M.D.

  • Obstetrics & Gynecology Physician
  • Marrero, LA
  • NPI 1336191378
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699726497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 W 5TH ST",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411615",
            "telephone_number": "606-877-1101",
            "fax_number": "606-878-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 W 5TH ST",
            "address_2": "SUITE 2",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407411615",
            "telephone_number": "606-877-1101",
            "fax_number": "606-878-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEAL EYECARE II PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DURANT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "606-877-1101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1345DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "1267150001",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013456",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "000000064776",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903276",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HENDY ID#",
            "identifier": "000000202838",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS DURANT ID #",
            "identifier": "000000064780",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013639",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Dean Estep, PT DPT
• Amanda Cook Evans, APRN, FNP-C
• Everside Health Aisin London
• Makayla Eversole, DMD
• Express Recovery
• Eyemart Express LLC
• Faith Healthcare Inc (Faith Healthcare London)
• Faith Healthcare Inc. (LC Rheumatology London)
• Family Health Care Associates 11 Limited Liability Company
• Family Options - Developmental Planning, LLC

• Optometrist in London, KY
• Providers in London, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.