CORBIN OPTICAL CO INC (NPI# 1164568028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164568028 |
| Entity Type | Organization |
| Organization Name | CORBIN OPTICAL CO INC |
| Practice Address |
107 Kentucky Street Corbin KY 40701 |
| Mailing Address |
Po Box 420 107 N. Kentucky Ave. Corbin KY 40702-0420 |
| Practice Telephone | 6065282833 |
| Practice Fax Number | 6065282862 |
| Mailing Telephone | 6065282833 |
| Mailing Fax Number | 6065282862 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | MR. LARRY THOMAS TATE (PRESIDENT CORBIN OPTICAL) |
| Authorized Official Telephone | 6065282833 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 567 | KY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 52905676 | 05 |
| Street Address |
107 KENTUCKY STREET |
| City | CORBIN |
| State | KY |
| Zip Code | 40701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336559186 | Larry Tate | Technician/Technologist | 107 Kentucky Street, Corbin, KY 40701 | 2014-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399727 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7900 Shelbyville Rd Ste B15, Louisville, KY 40222-5461 | 2020-02-26 |
| 1154961167 | Emx Eye Care PC | Eyewear Supplier (Equipment, not the service) | 410 Southtown Blvd Ste 4, Owensboro, KY 42303-7757 | 2020-01-08 |
| 1194215764 | Opticouture LLC | Eyewear Supplier (Equipment, not the service) | 959 Vine Street, Louisville, KY 40204-2071 | 2018-05-18 |
| 1477070654 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 111 Summit At Fritz Farm, Lexington, KY 40517-8300 | 2017-08-28 |
| 1568997112 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3301 Nicholasville Rd, Lexington, KY 40503-3603 | 2017-04-20 |
| 1083160915 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 7727 Mall Rd, Ste. B, Florence, KY 41042-1405 | 2016-08-31 |
| 1649626870 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 2007 S Highway 27, Suite A, Somerset, KY 42501-0000 | 2016-05-06 |
| 1740644947 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 450 Connector Rd, Georgetown, KY 40324-9729 | 2016-04-13 |
| 1477924884 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 4135 Ft Campbell Boulevard, Hopkinsville, KY 42240-8706 | 2015-10-12 |
| 1245621382 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1500 Fitzgerald Ct, Lexington, KY 40509-8307 | 2015-02-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.