Active NPI
New Lexington Clinic, PSC
Doing business as Georgetown Optometric Center
- Optometrist
- Georgetown, KY
National Provider Identifier
1861687048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- NEW LEXINGTON CLINIC, PSC
- Doing business as
- Georgetown Optometric Center
- Practice address
- 1002 S Broadway St
Georgetown, KY 40324-1463 - Phone
- (502) 868-0422
- Fax
- (502) 867-1967
- NPI assigned
- Sep 11, 2007
- Last updated
- Aug 14, 2008
- Organization subpart
- Yes
- Parent organization
- NEW LEXINGTON CLINIC, PSC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randall Lemay
- Title
- Chief Financial Officer
- Phone
- (859) 258-4101
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | ||
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
1002 S Broadway St
Georgetown, KY 40324-1463
Mailing address
PO Box 11790
Lexington, KY 40578-1790
Phone (859) 258-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77902674 | Medicaid | KY |
Other names 1
- Georgetown Optometric Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000103 | KY | Part B Supplier - Clinic/Group Practice | 3476457532 |
Receives reassigned benefits from 397 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lexington, KY; Paris, KY; Mt Sterling, KY; Nicholasville, KY; Richmond, KY; Somerset, KY; Versailles, KY; Georgetown, KY… |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba First Choice Walk-In Clinic
- Urgent Care Clinic/Center
- Lexington, KY
- NPI 1275639742
O20031121000103
-
dba Kentucky Ear, Nose and Throat
- Audiologist
- Lexington, KY
- NPI 1669715058
O20031121000103
-
dba Lexington Clinic
- Multi-Specialty Clinic/Center
- Lexington, KY
- NPI 1700803681
O20031121000103
-
dba Podiatric-Foot and Ankle Specialists of Lexington Clinic
- Podiatrist
- Lexington, KY
- NPI 1821283011
O20031121000103
National Provider Directory
National Provider Directory- Part of
- Keller and Jackson
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218672000000",
"number": "1861687048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11790",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405781790",
"telephone_number": "859-258-6000",
"fax_number": "859-258-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 S BROADWAY ST",
"city": "GEORGETOWN",
"state": "KY",
"postal_code": "403241463",
"telephone_number": "502-868-0422",
"fax_number": "502-867-1967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW LEXINGTON CLINIC, PSC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "NEW LEXINGTON CLINIC, PSC",
"enumeration_date": "2007-09-11",
"last_updated": "2008-08-14",
"status": "A",
"authorized_official_last_name": "LEMAY",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "859-258-4101"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77902674",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Georgetown Optometric Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Georgetown, KY
- Narayan Venguswamy PSC
- Narayan Venguswamy PSC
- New Approach Speech Therapy/Literacy Is Key Speech Therapy (Literacy is Key Speech Therapy)
- New Beginnings Chiropractic of Georgetown PLLC
- New CPT & R, Inc. (Commonwealth Physical Therapy and Rehabilitation- Georgetown)
- New Life Solutions
- New Vista of the Bluegrass Inc
- Justin Newsome, MSN, APRN, FNP-BC
- Candace Sue Newville, LPCC
- Next Step Behavioral Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.