Individual provider Active NPI

Rosemary Emmick, OPTOMETRIST

  • Optometrist
  • Hawesville, KY
National Provider Identifier
1699753673
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1064 DT Issued in KY
Practice address
123 Eastwind Court
Hawesville, KY 42348
Phone
(270) 927-8700
Fax
(270) 927-0837
NPI assigned
Jan 9, 2006
Last updated
Nov 3, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1064 DT KY Primary

Addresses

Primary practice location

123 Eastwind Court
Hawesville, KY 42348

Mailing address

123 Eastwind Court
Hawesville, KY 42348
Phone (270) 927-8700

Other identifiers 1

IdentifierTypeStateIssuer
77010643MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060123000274 KY Practitioner - Optometry 2567486210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Texas Medical School at Houston, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emmick Eye Care, PLLCGroup PAC ID 9537480959, 3 clinicians
Hardinsburg Eyecare Center PLLCGroup PAC ID 0941224695, 3 clinicians

Practice addresses (Care Compare)

123 Eastwind CT
Hawesville, KY 42348-6736
Phone (270) 927-8700

500 Ballpark Rd
Hardinsburg, KY 40143-5801
Phone (270) 756-6202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1064 DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Hardinsburg Eyecare Center PLLC Optometrist CurrentSince Dec 12, 2011 Accepting new patients
John Kenyon American Eye Institute LLC Past Accepting new patients

Locations

1115 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-6202

500 Ballpark Rd
Hardinsburg, KY 40143
Phone (270) 756-6202

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1699753673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 EASTWIND COURT",
            "city": "HAWESVILLE",
            "state": "KY",
            "postal_code": "42348",
            "telephone_number": "270-927-8700",
            "fax_number": "270-927-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EASTWIND COURT",
            "city": "HAWESVILLE",
            "state": "KY",
            "postal_code": "42348",
            "telephone_number": "270-927-8700",
            "fax_number": "270-927-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMICK",
        "first_name": "ROSEMARY",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1064 DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77010643",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawesville, KY

Sources for this page

Verify at the official NPI Registry.