Organization Active NPI

Dr. Tammy G. Hoskins Optometry PSC

  • Optometrist
  • Harrodsburg, KY
National Provider Identifier
1891994455
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1205DT Issued in KY
Legal business name
DR. TAMMY G. HOSKINS OPTOMETRY PSC
Practice address
Harrodsburg Eye Center
201 S Main St
Harrodsburg, KY 40330
Phone
(859) 734-3155
NPI assigned
Jul 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. Tammy Gwyn Hoskins, OPTOMETRISTNPI 1770514853
Title
Owner
Phone
(859) 734-3155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1205DT KY Primary

Addresses

Primary practice location

Harrodsburg Eye Center
201 S Main St
Harrodsburg, KY 40330

Mailing address

Harrodsburg Eye Center
201 S Main St
Harrodsburg, KY 40330
Phone (859) 734-3155

Other identifiers 1

IdentifierTypeStateIssuer
77904050MedicaidKY

Other names 1

  • Harrodsburg Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051020000905 KY Part B Supplier - Clinic/Group Practice 4385660182 Receives reassigned benefits from 2 practitioners
Practice locations: Harrodsburg, KY

National Provider Directory

National Provider Directory

Locations

201 S Main St
Harrodsburg, KY 40330
Phone (606) 734-3155

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1891994455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HARRODSBURG EYE CENTER",
            "address_2": "201 S MAIN ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "40330",
            "telephone_number": "859-734-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARRODSBURG EYE CENTER",
            "address_2": "201 S MAIN ST",
            "city": "HARRODSBURG",
            "state": "KY",
            "postal_code": "40330",
            "telephone_number": "859-734-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TAMMY G. HOSKINS OPTOMETRY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "GWYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-734-3155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1205DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77904050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrodsburg Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrodsburg, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.