Gary V Hathcoat, OD
Individual provider Active NPI Optometrist · Mt Washington, KY
NPI 1891769345 · NPPES record last updated Apr 13, 2011
Key facts
- NPI
- 1891769345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1204DT (KY)
- Practice address
- 11102 Highway 44 East
Mt Washington, KY 40047-7211 - Phone
- (502) 904-9933
- Fax
- (502) 904-9935
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901004469 | MI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Kenyon American Eye Institute LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18002279 | IN | |
| Optometrist | 152W00000X | 1204DT | KY | Yes |
| Optometrist | 152W00000X | 4901004469 | MI |
Addresses
Primary practice location
11102 Highway 44 East
Mt Washington, KY 40047-7211
Mailing address
PO Box 1109
Mt Washington, KY 40047-1109
Phone (502) 904-9933
Other providers in Mt Washington, KY
- Christina Lyn Hall
- Tara Harding
- Deborah L Hargis
- Rachel Harris
- Erica A Hartlauf
- Heather Henson
- Herhealth Nutrition
- Shera J Herndon
- Hipabilities, Inc.
- Anjenean Holt
All providers in Mt Washington, KY · Optometrist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.