Middletown Opticians LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

299 Issued in KY

Legal business name

MIDDLETOWN OPTICIANS LLC

Practice address

121 Village SQ
Louisville, KY 40243-1420

Phone

(502) 245-7491

Fax

(502) 245-0581

NPI assigned

Jun 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Terry Lee Kennedy

Title

Sole Member

Phone

(502) 245-7491

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1730341041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 VILLAGE SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431420",
            "telephone_number": "502-245-7491",
            "fax_number": "502-245-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 VILLAGE SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431420",
            "telephone_number": "502-245-7491",
            "fax_number": "502-245-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLETOWN OPTICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "502-245-7491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Middleton, M.D.
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• Middletown Eye Care PLLC
• Middletown Eye Physicians, PLC
• Middletown Medical Group
• Middletown Pediatrics
• Middletown Pharmacist Group
• Middletown Pharmacist Group
• Eric Midenberg, MD
• Midstream Home Urological

• Durable Medical Equipment & Medical Supplies in Louisville, KY
• Providers in Louisville, KY by specialty
• Durable Medical Equipment & Medical Supplies in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.