Organization Active NPI

Edmonson Eye Care 2016

  • Optometrist
  • Brownsville, KY
National Provider Identifier
1851724447
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EDMONSON EYE CARE 2016
Practice address
100 Park PL Ste 4
Brownsville, KY 42210-9036
Phone
(270) 597-9571
Fax
(270) 968-0204
NPI assigned
Aug 19, 2013
Last updated
Apr 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Dr. Aubrey Smith Harlan, O.D.
Title
Optometrist
Phone
(270) 597-9571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

100 Park PL Ste 4
Brownsville, KY 42210-9036

Mailing address

100 Park PL Ste 4
Brownsville, KY 42210-9036
Phone (270) 597-9571

National Provider Directory

National Provider Directory

Locations

2625 Scottsville Rd
Bowling Green, KY 42104
Phone (270) 745-0942

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1851724447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 4",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422109036",
            "telephone_number": "270-597-9571",
            "fax_number": "270-968-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK PL STE 4",
            "city": "BROWNSVILLE",
            "state": "KY",
            "postal_code": "422109036",
            "telephone_number": "270-597-9571",
            "fax_number": "270-968-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONSON EYE CARE 2016",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-19",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "HARLAN",
        "authorized_official_first_name": "AUBREY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "270-597-9571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.