PROFESSIONAL OPTICIANS PSC


Address: 165 Moore Dr, Lexington, KY 40503
Phone: 8592785409

PROFESSIONAL OPTICIANS PSC (NPI# 1194834713) 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) 1194834713
Entity Type Organization
Organization Name PROFESSIONAL OPTICIANS PSC
Practice Address 165 Moore Dr
Lexington
KY 40503
Practice Telephone 8592785409
Practice Fax Number 8592763491
Mailing Telephone 8592785409
Mailing Fax Number 8592763491
Enumeration Date 2006-08-29
Last Update Date 2020-08-22
Authorized Official Name MR. JOHN C HOLTMANN (PRESIDENT)
Authorized Official Telephone 8592785409
Authorized Official Credential ABO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
0366 KY Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
KY 52903663 05
KY AVESIS 14560 01
KY ANTHEM BCBS 000000066363 01

Office Location

Street Address 165 MOORE DR
City LEXINGTON
State KY
Zip Code 40503

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1598322364 Bobbi Jo Macqueston Developmental Therapist 825 Apache Trail, Lexington, KY 40503 2019-05-28
1750846234 Smart Dental & Hygiene Express Dentist 2600 Nicholasville Rd Suite 120, Lexington, KY 40503 2019-02-08
1780148353 Southland Child, Adult, and Family Counseling Counselor 2039 Regency Rd., Ste 1, Lexington, KY 40503 2019-01-28
1073093357 Amanda Zachem Nurse Practitioner 1780 Nicholasville Rd., Suite #203, Lexington, KY 40503 2018-08-16
1083101240 Man O War Urgent Care LLC Nurse Practitioner 4097 Nichols Park Dr Ste 108, Lexington, KY 40503 2018-04-13
1255833737 Bennett Gatto Physical Therapist 3882 Mall Road, Lexington, KY 40503 2018-03-01
1528566114 Alteri, LLC Counselor 1517 Nicholasville Rd Ste 402, Lexington, KY 40503 2018-01-29
1245748235 Sherry Kay Adkins Registered Nurse Baptist Health Lexington 1740 Nicholasville Road, Diabetes Education, Lexington, KY 40503 2018-01-12
1003334780 Martin Bennett Hundley Counselor 274 Southland Dr # 204, Lexington, KY 40503 2017-09-01
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154955227 My Optical Technician/Technologist 808 Highway 378, Lexington, SC 29072-8377 2020-02-27
1720276454 Kenneth R Hayden Technician/Technologist 740 South Limeston, Lexington, KY 40536-0001 2007-10-09
1326241506 Kentucky Medical Services Foundation Technician/Technologist 740 S Limeston, Lexington, KY 40536-0001 2007-06-06
1881710713 Richardson Vision Center Technician/Technologist 1757 Alexandria Dr, Lexington, KY 40504-3111 2007-03-22
1801939863 M.d. Optique, Inc Technician/Technologist 3801 Mall Road, Suite 115, Lexington, KY 40503 2007-02-15
1255495107 Wal-mart Stores East, Lp Technician/Technologist 2350 Grey Lag Way Rd., Lexington, KY 40509 2006-12-21
1487737318 Wal-mart Stores East, Lp Technician/Technologist 37 Plaza Pkwy, Lexington, NC 27292-5359 2006-10-23
1902987886 Wallace Williams Technician/Technologist 153 Patchen Dr, Ste 1, Lexington, KY 40517-4420 2006-10-18
1003908849 Peck Opticians Inc Technician/Technologist 370 Longview Drive, Lexington, KY 40503-1817 2006-09-29
1487279618 Lori Dykes Technician/Technologist 808 Highway 378 Ste A, Lexington, SC 29072-8379 2020-06-12
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Competitor

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City LEXINGTON
Zip Code 40503

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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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