David M. Eads, O.D. & Associates, PSC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1063DT Issued in KY

Legal business name

DAVID M. EADS, O.D. & ASSOCIATES, PSC

Practice address

177 Washington Dr
Somerset, KY 42501-2938

Phone

(606) 679-0033

NPI assigned

Mar 27, 2007

Organization subpart

No

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

Authorized official

Name

David M. Eads, O.D.

Title

Owner

Phone

(606) 679-0033

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1811015910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 WASHINGTON DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012938",
            "telephone_number": "606-679-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 WASHINGTON DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425012938",
            "telephone_number": "606-679-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M. EADS, O.D. & ASSOCIATES, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "EADS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "606-679-0033",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1063DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902203",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.