NPIMap

Organization Active NPI

KSM, PLLC

  • Optometrist
  • Lexington, KY
National Provider Identifier
1962793976
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KSM, PLLC
Practice address
2716 Old Rosebud Rd
Suite 130
Lexington, KY 40509-8008
Phone
(859) 327-3701
NPI assigned
Apr 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Karen Santos McCloud, O.D.
Title
Sole Member
Phone
(859) 327-3701

Specialties & licenses 1

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

Addresses

Primary practice location

2716 Old Rosebud Rd
Suite 130
Lexington, KY 40509-8008

Mailing address

2716 Old Rosebud Rd
Suite 130
Lexington, KY 40509-8008
Phone (859) 327-3701

Other names 1

  • Hamburg Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

2716 Old Rosebud Rd
Ste 130
Lexington, KY 40509
Phone (859) 327-3701

Practitioners & affiliated clinicians

Practitioners 4

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": "1303689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1962793976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 OLD ROSEBUD RD",
            "address_2": "SUITE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098008",
            "telephone_number": "859-327-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2716 OLD ROSEBUD RD",
            "address_2": "SUITE 130",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405098008",
            "telephone_number": "859-327-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSM, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MCCLOUD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "SANTOS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "859-327-3701",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamburg Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.