Organization Active NPI

Eyes on Somerset, PLLC

  • Optometrist
  • Somerset, KY
National Provider Identifier
1790035582
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1743DT Issued in KY
Legal business name
EYES ON SOMERSET, PLLC
Practice address
1005 W Columbia St
Suite B
Somerset, KY 42503-2720
Phone
(606) 677-2020
Fax
(606) 677-2021
NPI assigned
Sep 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Authorized official

Name
Dr. Jennifer L Brown, O.D.
Title
Owner
Phone
(859) 494-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1743DT KY Primary

Addresses

Primary practice location

1005 W Columbia St
Suite B
Somerset, KY 42503-2720

Mailing address

PO Box 1548
Somerset, KY 42502-1548
Phone (859) 494-0555

Other names 1

  • 20/20 Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

1005 W Columbia St
#B
Somerset, KY 42503
Phone (606) 451-0668

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348012800000",
    "number": "1790035582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1548",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425021548",
            "telephone_number": "859-494-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W COLUMBIA ST",
            "address_2": "SUITE B",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425032720",
            "telephone_number": "606-677-2020",
            "fax_number": "606-677-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON SOMERSET, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-19",
        "last_updated": "2012-09-19",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-494-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1743DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "20/20 Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2012; 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.