Active NPI
Mary Anne Belcher OD PSC
- Optometrist
- Elkhorn City, KY
National Provider Identifier
1730210287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1059DT
- Legal business name
- MARY ANNE BELCHER OD PSC
- Practice address
- 20 Spring Ave
Elkhorn City, KY 41522 - Phone
- (606) 754-5775
- Fax
- (606) 754-5775
- NPI assigned
- Mar 8, 2007
- Last updated
- Jan 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Anne Belcher, OD
- Title
- OD
- Phone
- (606) 754-5775
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1059DT | KY | Primary |
Addresses
Primary practice location
20 Spring Ave
Elkhorn City, KY 41522
Mailing address
PO Box 1237
Elkhorn City, KY 41522-1237
Phone (606) 754-5775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410046162 | Other | KY | PALMETTO/ RR MEDICARE |
| 77903433 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
20 Spring Ave
Elkhorn City, KY 41522
Phone (606) 754-5775
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Elkhorn City, KY
- NPI 1770633018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263168000000",
"number": "1730210287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1237",
"city": "ELKHORN CITY",
"state": "KY",
"postal_code": "415221237",
"telephone_number": "606-754-5775",
"fax_number": "606-754-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 SPRING AVE",
"city": "ELKHORN CITY",
"state": "KY",
"postal_code": "41522",
"telephone_number": "606-754-5775",
"fax_number": "606-754-5775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARY ANNE BELCHER OD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-08",
"last_updated": "2010-01-11",
"status": "A",
"authorized_official_last_name": "BELCHER",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OD",
"authorized_official_telephone_number": "606-754-5775",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "KY",
"license": "1059DT",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO/ RR MEDICARE",
"identifier": "410046162",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77903433",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elkhorn City, KY
- Robert Lancer Lester, PHARM.D.
- Rebekah Danielle Lewis
- Larry W Lynn, D.M.D
- Marrowbone Family Clinic PLLC
- Marrowbone Family Pharmacy (Russell Fork Pharmacy)
- Allen Maynard, PA-C
- Larry Edward McCoy, OTR
- Mountain Comprehensive Health Corporation (Elkhorn City Optometry Clinic)
- Mountain Comprehensive Health Corporation (Elkhorn City Medical Clinic)
- Mountain View Healthcare and Rehabilitation Center LLC (Mountain View Healthcare and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.