Owensboro Eyecare Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

945DT Issued in KY

Legal business name

OWENSBORO EYECARE CENTER PLLC

Practice address

1705 Frederica St
Owensboro, KY 42301-4814

Phone

(270) 683-2121

Fax

(270) 683-3167

NPI assigned

Dec 29, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Charles D Heck, O.D.NPI 1710956990

Title

Partner

Phone

(270) 683-2121

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles D. Heck, O.D.

  • Optometrist
  • Owensboro, KY
  • NPI 1710956990
  Medicare reassignment NPD Authorized official
• Vaughn G Sanders, O.D.

  • Optometrist
  • Owensboro, KY
  • NPI 1558330746
  Medicare reassignment NPD
• Christopher Scott Meyer, O.D.

  • Optometrist
  • Owensboro, KY
  • NPI 1710361159
  NPD

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1770649188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014814",
            "telephone_number": "270-683-2121",
            "fax_number": "270-683-3167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 FREDERICA ST",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014814",
            "telephone_number": "270-683-2121",
            "fax_number": "270-683-3167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENSBORO EYECARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "HECK",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "270-683-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "945DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "763DT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77904019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Owensboro Cancer Center PSC
• Owensboro Center for Oral & Maxillofacial Surgery, PLLC
• Owensboro Dermatology Associates
• Owensboro Dermatology Associates, PSC
• Owensboro Endodontics, PSC
• Owensboro Family Eye Care Center PSC
• Owensboro Family Medicine PSC
• Owensboro Family Medicine, PSC
• Owensboro Habilitation Services
• Owensboro Habilitation Services, LLC

• Optometrist in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.