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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
0366 | KY | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 52903663 | 05 | |
KY | AVESIS | 14560 | 01 |
KY | ANTHEM BCBS | 000000066363 | 01 |
Street Address |
165 MOORE DR |
City | LEXINGTON |
State | KY |
Zip Code | 40503 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548804743 | Lucas Kyle Brothers | Occupational Therapist | 401 Lewis Hargett Cir #120, Lexington, KY 40503 | 2019-10-30 |
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 |
Find all providers in zip 40503 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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 |
Find all providers in LEXINGTON |
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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.