Active NPI
Eye Centers of Southeast Kentucky PSC
- Ophthalmology Physician
- Corbin, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CENTERS OF SOUTHEAST KENTUCKY PSC
- Practice address
- 1490 Cumberland Falls Hwy
Corbin, KY 40701-2721 - Phone
- (606) 526-0433
- Fax
- (606) 526-0434
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen Trevor Briscoe, M.D.
- Title
- Provider, Owner
- Phone
- (606) 526-0433
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1490 Cumberland Falls Hwy
Corbin, KY 40701-2721
Mailing address
1470 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-0433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3725388 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1490 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-0433
1470 Cumberland Falls Hwy
Corbin, KY 40701
Phone (606) 526-0433
73 Eula Gray St
Ste 15
Harlan, KY 40831
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Corbin, KY
- NPI 1679568661
-
- Orthopaedic Surgery Physician
- Corbin, KY
- NPI 1063416741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1851400865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 CUMBERLAND FALLS HWY",
"city": "CORBIN",
"state": "KY",
"postal_code": "40701",
"telephone_number": "606-526-0433",
"fax_number": "606-526-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1490 CUMBERLAND FALLS HWY",
"city": "CORBIN",
"state": "KY",
"postal_code": "407012721",
"telephone_number": "606-526-0433",
"fax_number": "606-526-0434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CENTERS OF SOUTHEAST KENTUCKY PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "BRISCOE",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "TREVOR",
"authorized_official_title_or_position": "PROVIDER, OWNER",
"authorized_official_telephone_number": "606-526-0433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3725388",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corbin, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.