Central Kentucky Optometric Associates PSC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC

Practice address

310 W High St
Lebanon, KY 40033-1428

Phone

(270) 692-1871

Fax

(270) 692-6785

NPI assigned

Jun 2, 2006

Last updated

Jan 26, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patricia M Hollingsworth-Cecconi, ODNPI 1851396592

Title

Sectreas

Phone

(270) 692-1871

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Central Kentucky Optometric Associates PSC

  • Optometrist
  • Springfield, KY
  • NPI 1114964681

  9335172949

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Central Kentucky Optometric Associates PSC

  • Optometrist
  • Springfield, KY
  • NPI 1114964681

  O20050914000929

  Same enrollment
• Central Kentucky Optometric Associates PSC

  dba Uptown EyeCare

  • Optometrist
  • Shepherdsville, KY
  • NPI 1558558361

  O20050914000929

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Central Kentucky Optometric2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Kentucky Optometric Associates PSC

  • Optometrist
  • Springfield, KY
  • NPI 1114964681
  NPD tax ID

Locations

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.

• Patricia Mary Hollingsworth-Cecconi, O.D.

  • Optometrist
  • Lebanon, KY
  • NPI 1851396592
  Medicare reassignment Care Compare group Authorized official
• John W Cecconi Jr., O.D.

  • Optometrist
  • Springfield, KY
  • NPI 1487624029
  Medicare reassignment Care Compare group
• Paul G Taylor, O.D.

  • Optometrist
  • Lebanon, KY
  • NPI 1174593701
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1902843378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W HIGH ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331428",
            "telephone_number": "270-692-1871",
            "fax_number": "270-692-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W HIGH ST",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331428",
            "telephone_number": "270-692-1871",
            "fax_number": "270-692-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH-CECCONI",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SECTREAS",
        "authorized_official_telephone_number": "270-692-1871",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1902843378",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77903391",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caldwell Counseling Services LLC
• Ashley N Caldwell, LPCA
• Starr Gobert Caldwell, LCSW
• William Neil Caldwell
• Called to Care, LLC
• Central Kentucky Rehabilitation, LLC
• Chiropractic Health Center of Lebanon PLLC (Chiropractic Health Center)
• Amber Clark, MS, CCC-SLP
• Delanna Leigh Clark, APRN
• Heather Lacey Clark, DPT

• Optometrist in Lebanon, KY
• Providers in Lebanon, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.