South Creek Eye Center PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

31817 Issued in KY

Legal business name

SOUTH CREEK EYE CENTER PSC

Practice address

551 N Hwy. 27
Whitley City, KY 42653

Phone

(606) 376-4199

Fax

(606) 376-9693

NPI assigned

May 18, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mahmud A Naser, M.D.

Title

President

Phone

(606) 376-4199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1760701635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "426530280",
            "telephone_number": "606-376-4199",
            "fax_number": "606-376-9693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N HWY. 27",
            "city": "WHITLEY CITY",
            "state": "KY",
            "postal_code": "42653",
            "telephone_number": "606-376-4199",
            "fax_number": "606-376-9693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CREEK EYE CENTER PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "NASER",
        "authorized_official_first_name": "MAHMUD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "606-376-4199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "31817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64318173",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shonna Hall Rufty, PHARMD
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• Tiffany Marie Stephens, TLBA

• Ophthalmology Physician in Whitley City, KY
• Providers in Whitley City, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.

Verify at the official NPI Registry.