Active NPI
Downing Healthcare Partners, LLC
- Optometrist
- Bowling Green, KY
National Provider Identifier
1982169124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DOWNING HEALTHCARE PARTNERS, LLC
- Practice address
- 1680 Campbell LN Ste 104
Bowling Green, KY 42104-1062 - Phone
- (561) 275-2020
- NPI assigned
- Feb 1, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jackie Bennett
- Title
- Credentialing Manager
- Phone
- (561) 433-6009
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
1680 Campbell LN Ste 104
Bowling Green, KY 42104-1062
Mailing address
1680 Campbell LN Ste 104
Bowling Green, KY 42104-1062
Other names 1
- My Eye Lab
National Provider Directory
National Provider Directory- Tax ID family
- Downing Healthcare Partners LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Bowling Green, KY
- NPI 1942865050
Locations
1680 Campbell Ln
Ste 104
Bowling Green, KY 42104
Phone (270) 512-2500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613952000000",
"number": "1982169124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 CAMPBELL LN STE 104",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421041062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 CAMPBELL LN STE 104",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421041062",
"telephone_number": "561-275-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOWNING HEALTHCARE PARTNERS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-01",
"last_updated": "2021-02-22",
"certification_date": "2021-02-22",
"status": "A",
"authorized_official_last_name": "BENNETT",
"authorized_official_first_name": "JACKIE",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "561-433-6009"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Eye Lab",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "My Eye Lab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.