Dr. 2Eyes PLLC
Organization Active NPI Optometrist · Crestwood, KY
NPI 1841821972 · NPPES record last updated Jan 28, 2020
Key facts
- NPI
- 1841821972
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- DR. 2EYES PLLC
- Practice address
- 5998 Pleasant Colony CT Ste 16
Crestwood, KY 40014-8712 - Phone
- (502) 599-9998
- NPI assigned
- Jan 28, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Daniel Tew Jr., OD
- Title
- Owner
- Phone
- (502) 599-9998
Practitioners 1
-
Daniel B Tew Jr., OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200529002502 | KY | Part B Supplier - Clinic/Group Practice | 7719314905 |
Receives reassigned benefits from 1 practitioner Practice locations: Crestwood, KY |
National Provider Directory
Locations
5998 Pleasant Colony Ct
Crestwood, KY 40014
5998 Pleasant Colony Ct
Ste 16
Crestwood, KY 40014
Phone (502) 599-9998
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
5998 Pleasant Colony CT Ste 16
Crestwood, KY 40014-8712
Mailing address
2216 Margate CT
La Grange, KY 40031-8689
Phone (502) 599-9998
Other names
- 2EYES
Other providers in Crestwood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.