NPIMap

Organization Active NPI

Eye Associates of Southern Indiana PC

Doing business as Frankfort Vision Center

  • Optometrist
  • Frankfort, KY
National Provider Identifier
1962533851
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1520DT Issued in KY
Legal business name
EYE ASSOCIATES OF SOUTHERN INDIANA PC
Doing business as
Frankfort Vision Center
Practice address
643 Comanche Trail
Frankfort, KY 40601-1753
Phone
(502) 227-4508
Fax
(502) 226-3315
NPI assigned
Mar 9, 2007
Last updated
Sep 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

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

Authorized official

Name
Kristopher Pugh, MDNPI 1194859389
Title
Owner MD
Phone
(812) 284-0660

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 1520DT KY Primary

Addresses

Primary practice location

643 Comanche Trail
Frankfort, KY 40601-1753

Mailing address

302 W 14TH St Ste 100a
Jeffersonville, IN 47130-3751
Phone (812) 280-2162

Other identifiers 3

IdentifierTypeStateIssuer
000000280798OtherKYANTHEM
77000420MedicaidKY
P00021169OtherKYRAILROAD MEDICARE

Other names 1

  • Frankfort Vision Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181108002734 KY DME Supplier - Physician - Ophthalmology 4183688310 Practice locations: Frankfort, KY

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory
Tax ID family
Eye Associates of South10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

849 Pacer Dr NW
Corydon, IN 47112
Phone (812) 738-2278

441 Green Rd
Madison, IN 47250
Phone (812) 273-2020

401 Henry St
North Vernon, IN 47265
Phone (812) 346-2020

488 W Hospital Rd
Ste 1
Paoli, IN 47454
Phone (812) 723-4752

1101 N Jim Day Rd
Ste 109
Salem, IN 47167
Phone (812) 620-6170

1220 W McClain Ave
Scottsburg, IN 47170
Phone (812) 590-6157

1220 W McClain Ave
Ste 300
Scottsburg, IN 47170
Phone (812) 752-2020

121 W Main St
Vevay, IN 47043
Phone (812) 427-2717

833 E Main St
Frankfort, KY 40601
Phone (502) 227-4508

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537833600000",
    "number": "1962533851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 14TH ST STE 100A",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303751",
            "telephone_number": "812-280-2162",
            "fax_number": "812-284-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 COMANCHE TRAIL",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011753",
            "telephone_number": "502-227-4508",
            "fax_number": "502-226-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ASSOCIATES OF SOUTHERN INDIANA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2018-09-25",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "KRISTOPHER",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "812-284-0660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1520DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000280798",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77000420",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00021169",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frankfort Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Frankfort Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.