NPIMap

Organization Active NPI

Sites Vision Clinic

  • Optometrist
  • Elkton, KY
National Provider Identifier
1881711786
Registry record updated Jun 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1362DT Issued in KY
Legal business name
SITES VISION CLINIC
Practice address
81 Public Square Ave.
Elkton, KY 42220
Phone
(270) 265-9036
Fax
(270) 265-0013
NPI assigned
Mar 23, 2007
Last updated
Jun 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2011

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

Authorized official

Name
Dr. Paula P Murray, OPTOMETRISTNPI 1386668705
Title
Employee
Phone
(270) 265-9036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1362DT KY Primary

Addresses

Primary practice location

81 Public Square Ave.
Elkton, KY 42220

Mailing address

81 Public Square
Elkton, KY 42220
Phone (270) 265-9036

Other identifiers 1

IdentifierTypeStateIssuer
7100158860MedicaidKY

National Provider Directory

National Provider Directory

Locations

81 Public Sq
Elkton, KY 42220
Phone (270) 265-9036

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1881711786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 PUBLIC SQUARE",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "42220",
            "telephone_number": "270-265-9036",
            "fax_number": "270-265-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 PUBLIC SQUARE AVE.",
            "city": "ELKTON",
            "state": "KY",
            "postal_code": "42220",
            "telephone_number": "270-265-9036",
            "fax_number": "270-265-0013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITES VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "270-265-9036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1362DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100158860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; 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.