20-20 Eyecare PSC
Organization Active NPI Optometrist · Louisville, KY
NPI 1710924949 · NPPES record last updated Dec 8, 2010
Key facts
- NPI
- 1710924949
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- 20-20 EYECARE PSC
- Practice address
- 215 Central Ave
Suite 101
Louisville, KY 40208-1449 - Phone
- (502) 636-5766
- Fax
- (502) 736-4490
- NPI assigned
- May 31, 2006
- Organization subpart
- No
Authorized official
- Name
- Kevin Crawford, OD
- Title
- President
- Phone
- (502) 955-2020
Practitioners 79
-
Aida I Badillo, OD
-
Hayley Childers, OD
-
Joe E Ellis, O.D.
-
Meghan Gambrel, OD
-
Arthur Andrew Haley, O.D.
-
Samuel R Hargus II, O.D.
-
James David Jaco, O.D.
-
John Harold Matthews, O.D.
-
David Moore, OD
-
Laurel Morris, O.D.
-
Donise B. Sheridan, O.D.
-
Charles Barrett Simpson, O.D.
-
Justin Ray Travis, O.D.
-
Deborah Radeline Bereda, O.D.
National Provider Directory
Locations
5855 Reliable Pkwy
Chicago, IL 60686
Phone (812) 288-2029
325 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 283-3231
1420 Blackiston Mill Rd
Ste A
Clarksville, IN 47129
Phone (812) 288-2029
1705 N Dixie Ave
Elizabethtown, KY 42701
1709 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 765-2020
2499 Dixie Hwy
Ft Mitchell, KY 41017
10435 Dixie Hwy
Louisville, KY 40272
Phone (502) 933-9200
215 Central Ave
Ste 101
Louisville, KY 40208
Phone (502) 588-8720
8118 Montgomery Rd
Ste 214
Cincinnati, OH 45236
Phone (513) 891-9030
3308 Jefferson Ave
Cincinnati, OH 45220
Phone (513) 281-2032
8629 N Pavillion
West Chester, OH 45069
Phone (513) 860-0400
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
215 Central Ave
Suite 101
Louisville, KY 40208-1449
Mailing address
5855 Reliable Pkwy
Chicago, IL 60686-0086
Phone (502) 636-5766
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77904159 | Medicaid | KY |
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.