NPIMap

Organization Active NPI

Logan County Eye Associates

  • Optometrist
  • Russellville, KY
National Provider Identifier
1831146695
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
LOGAN COUNTY EYE ASSOCIATES
Practice address
105 Robins Way
Suite 206
Russellville, KY 42276-1820
Phone
(270) 726-2022
Fax
(270) 726-2035
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mrs. Cass Whitescarver
Title
Office Manager
Phone
(270) 726-2022

Specialties & licenses 1

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

Addresses

Primary practice location

105 Robins Way
Suite 206
Russellville, KY 42276-1820

Mailing address

105 Robins Way
Suite 206
Russellville, KY 42276-1820
Phone (270) 726-2022

Other identifiers 1

IdentifierTypeStateIssuer
77902435MedicaidKY

National Provider Directory

National Provider Directory

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": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1831146695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 206",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761820",
            "telephone_number": "270-726-2022",
            "fax_number": "270-726-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ROBINS WAY",
            "address_2": "SUITE 206",
            "city": "RUSSELLVILLE",
            "state": "KY",
            "postal_code": "422761820",
            "telephone_number": "270-726-2022",
            "fax_number": "270-726-2035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOGAN COUNTY EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "WHITESCARVER",
        "authorized_official_first_name": "CASS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-726-2022",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902435",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russellville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.