Organization Active NPI

Karl McClanahan, PSC

Doing business as McClanahan Eye Care

  • Optometrist
  • Winchester, KY
National Provider Identifier
1811153877
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1241DT Issued in KY
Legal business name
KARL MCCLANAHAN, PSC
Doing business as
McClanahan Eye Care
Practice address
130 Hospital Dr
Winchester, KY 40391-9591
Phone
(859) 737-5599
Fax
(859) 737-0650
NPI assigned
Jul 30, 2008
Last updated
Aug 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Dr. Karl McClanahan, O.D.NPI 1598759250
Title
President/Owner
Phone
(859) 737-5599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1241DT KY Primary

Addresses

Primary practice location

130 Hospital Dr
Winchester, KY 40391-9591

Mailing address

130 Hospital Dr
Winchester, KY 40391-9591
Phone (859) 737-5599

Other identifiers 1

IdentifierTypeStateIssuer
77012417MedicaidKY

Other names 1

  • MCCLANAHAN EYE CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121009000154 KY Part B Supplier - Clinic/Group Practice 1658492152 Receives reassigned benefits from 4 practitioners
Practice locations: Winchester, KY

National Provider Directory

National Provider Directory

Locations

130 Hospital Dr
Winchester, KY 40391
Phone (859) 737-5599

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1811153877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919591",
            "telephone_number": "859-737-5599",
            "fax_number": "859-737-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL DR",
            "city": "WINCHESTER",
            "state": "KY",
            "postal_code": "403919591",
            "telephone_number": "859-737-5599",
            "fax_number": "859-737-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL MCCLANAHAN, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "MCCLANAHAN",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "859-737-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1241DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012417",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCCLANAHAN EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MCCLANAHAN EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.