Organization Active NPI

Murray Vision Center LLC

  • Optometrist
  • Murray, KY
National Provider Identifier
1821399783
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1292DT Issued in KY
Legal business name
MURRAY VISION CENTER LLC
Practice address
106 N 6TH St
Murray, KY 42071-2015
Phone
(270) 753-2842
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Authorized official

Name
James David Jaco, O.D.
Title
Optometrist
Phone
(270) 753-2842

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1292DT KY Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 1767DT KY

Addresses

Primary practice location

106 N 6TH St
Murray, KY 42071-2015

Mailing address

106 N 6TH St
Murray, KY 42071-2015
Phone (270) 753-2842

National Provider Directory

National Provider Directory

Locations

106 N 6th St
Murray, KY 42071
Phone (270) 638-0004

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1821399783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N 6TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712015",
            "telephone_number": "270-753-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N 6TH ST",
            "city": "MURRAY",
            "state": "KY",
            "postal_code": "420712015",
            "telephone_number": "270-753-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "JACO",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "270-753-2842",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1292DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1767DT",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murray, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.