Organization Active NPI

DRS. Guerrant, Inc.

  • Optometrist
  • Mt Sterling, KY
National Provider Identifier
1962605220
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRS. GUERRANT, INC.
Practice address
409 Indian Mound Dr
Mt Sterling, KY 40353-1096
Phone
(888) 497-2117
Fax
(859) 497-2542
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Wallace B Guerrant Jr., ODNPI 1982767364
Title
Secretary Treasurer
Phone
(888) 497-2117

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 Primary

Addresses

Primary practice location

409 Indian Mound Dr
Mt Sterling, KY 40353-1096

Mailing address

409 Indian Mound Dr
Mt Sterling, KY 40353-1096
Phone (888) 497-2117

Other identifiers 1

IdentifierTypeStateIssuer
77012144MedicaidKY

National Provider Directory

National Provider Directory

Locations

409 Indian Mound Dr
Mt Sterling, KY 40353
Phone (606) 497-2117

Practitioners & affiliated clinicians

Practitioners 1

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1962605220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 INDIAN MOUND DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531096",
            "telephone_number": "888-497-2117",
            "fax_number": "859-497-2542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 INDIAN MOUND DR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403531096",
            "telephone_number": "888-497-2117",
            "fax_number": "859-497-2542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. GUERRANT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "GUERRANT",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "888-497-2117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77012144",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.