SOUTH HILL EYE CARE, PLLC


Address: 535 S Upper St, Suite 195, Lexington, KY 40508-2935
Phone: 8592593768

SOUTH HILL EYE CARE, PLLC (NPI# 1164611547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1164611547
Entity Type Organization
Organization Name SOUTH HILL EYE CARE, PLLC
Practice Address 535 S Upper St
Suite 195
Lexington
KY 40508-2935
Mailing Address 535 South Upper Street
Suite 195
Lexington
KY 40508
Practice Telephone 8592593768
Practice Fax Number 8592819582
Mailing Telephone 8592593768
Mailing Fax Number 8592819582
Enumeration Date 2007-10-22
Last Update Date 2008-04-30
Authorized Official Name STEVEN N SPEAR (OPTOMETRIST)
Authorized Official Telephone 8592593768
Authorized Official Credential O. D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 302F00000X Exclusive Provider Organization 15652DT KY Managed Care Organizations

Office Location

Street Address 535 S UPPER ST
SUITE 195
City LEXINGTON
State KY
Zip Code 40508-2935

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639234123 Steven Noel Spear Optometrist 535 S Upper St, Suite 195, Lexington, KY 40508-2935 2006-12-26

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Taxonomy Information

Taxonomy Code 302F00000X
Grouping Managed Care Organizations
Classification Exclusive Provider Organization

Taxonomy Definition

(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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1528498318 Kvc Behavioral Health Exclusive Provider Organization 900 Beasley St, Lexington, KY 40509-4266 2013-11-15

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Competitor

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City LEXINGTON
Zip Code 40508

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Dataset Information

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.

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