Organization Active NPI

Kentucky Family Vision, LLC

  • Optometrist
  • Bardstown, KY
National Provider Identifier
1891488698
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KENTUCKY FAMILY VISION, LLC
Practice address
217 Kentucky Home SQ
Bardstown, KY 40004-1823
Phone
(502) 628-2900
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Emily Whitlow, OD
Title
Optometrist
Phone
(304) 621-2754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

217 Kentucky Home SQ
Bardstown, KY 40004-1823

Mailing address

217 Kentucky Home SQ
Bardstown, KY 40004-1823
Phone (502) 628-2900

National Provider Directory

National Provider Directory

Locations

217 Kentucky Home Sq
Bardstown, KY 40004
Phone (502) 628-2900

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1891488698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 KENTUCKY HOME SQ",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041823",
            "telephone_number": "502-628-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 KENTUCKY HOME SQ",
            "city": "BARDSTOWN",
            "state": "KY",
            "postal_code": "400041823",
            "telephone_number": "502-628-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY FAMILY VISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "WHITLOW",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "304-621-2754",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bardstown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.