NPIMap

Organization Active NPI

Eyecare Center Optometrist PSC

  • Optometrist
  • Richmond, KY
National Provider Identifier
1851384960
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE CENTER OPTOMETRIST PSC
Practice address
1020 Gibson Bay Dr
Richmond, KY 40475-3448
Phone
(859) 623-3358
Fax
(859) 623-8141
NPI assigned
Aug 24, 2005
Last updated
Nov 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Authorized official

Name
Sheilah Lowery
Title
Manager
Phone
(859) 623-3358

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

1020 Gibson Bay Dr
Richmond, KY 40475-3448

Mailing address

1020 Gibson Bay Dr
Richmond, KY 40475-3448
Phone (859) 623-3358

Other identifiers 1

IdentifierTypeStateIssuer
77902518MedicaidKY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031107000014 KY Part B Supplier - Clinic/Group Practice 0143133058 Receives reassigned benefits from 8 practitioners
4 other NPIs on this enrollment
Practice locations: Beattyville, KY; Irvine, KY; Lexington, KY; MC Kee, KY; Richmond, KY

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

100 Mary Lynn Dr
Ste 15
Georgetown, KY 40324
Phone (502) 863-2020

201 Champion Way
Ste 1
Georgetown, KY 40324
Phone (502) 863-2020

4235 Richmond Rd
Irvine, KY 40336
Phone (606) 726-9321

148 Malabu Dr
Ste 150
Lexington, KY 40503
Phone (859) 272-2449

37 S Main St
Winchester, KY 40391
Phone (606) 744-4429

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1851384960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 GIBSON BAY DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753448",
            "telephone_number": "859-623-3358",
            "fax_number": "859-623-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 GIBSON BAY DR",
            "city": "RICHMOND",
            "state": "KY",
            "postal_code": "404753448",
            "telephone_number": "859-623-3358",
            "fax_number": "859-623-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE CENTER OPTOMETRIST PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "SHEILAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "859-623-3358"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77902518",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.