CLINIC OPTICAL (NPI# 1508986167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508986167 |
| Entity Type | Organization |
| Organization Name | CLINIC OPTICAL |
| Practice Address |
201 Park St Bowling Green KY 42101-1759 |
| Practice Telephone | 2707800594 |
| Practice Fax Number | 2707833361 |
| Mailing Telephone | 2707800594 |
| Mailing Fax Number | 2707833361 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | DR. JENNIFER WENTWORTH (OPHTHALMOLOGIST) |
| Authorized Official Telephone | 2707800594 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
E82360 | KY | Eye and Vision Services Providers |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 102090 | KY | Suppliers |
| Street Address |
201 PARK ST |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42101-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902800998 | David Anthony Bergamini | Urology | 201 Park St, Bowling Green, KY 42101-1759 | 2005-06-08 |
| 1578163770 | Southeast Anesthesia, Plc | Nurse Anesthetist, Certified Registered | 201 Park St, Bowling Green, KY 42101-1742 | 2020-10-27 |
| 1760096200 | Ryan Michael Beard | Physical Therapist | 201 Park St, Bowling Green, KY 42101-1708 | 2020-09-02 |
| 1881204162 | Kristian Patricia Lee | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-08-03 |
| 1184232548 | Amy Pendleton Brown | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-07-21 |
| 1346867223 | Caitlyn Elizabeth Riggs | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2020-06-26 |
| 1598304040 | Rachel Paige Houchen | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2020-01-02 |
| 1245875996 | Christie Finney | Nurse Practitioner | 201 Park St, Bowling Green, KY 42101-1708 | 2019-11-16 |
| 1164077988 | Jeremy Darnell | Physical Therapy Assistant | 201 Park St, Bowling Green, KY 42101-1742 | 2019-08-08 |
| 1790246130 | Jamie Powers | Registered Nurse | 201 Park St, Bowling Green, KY 42101-1708 | 2019-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608827 | Heidi Denise Estes | Nurse Practitioner | 651 U.S. 31 W Bypass Ste 106, Bowling Green, KY 42101 | 2020-10-29 |
| 1205476561 | Emily Nell Conner | Pharmacist | 350 West Us 31 Bypass, Bowling Green, KY 42101 | 2020-01-14 |
| 1598304180 | Elizabeth Page Appling | Nurse Practitioner | 1681 Normal Dr., Bowling Green, KY 42101 | 2019-12-30 |
| 1598306227 | Heather Wells | Nurse Practitioner | 427 U.S. 31w Bypass, Bowling Green, KY 42101 | 2019-10-03 |
| 1275182255 | The Kidz Club-pdn, LLC | Nursing Care | 1537 Highway 185, Suite 3, Bowling Green, KY 42101 | 2019-09-11 |
| 1841756525 | Balance Therapeutic Care, Counseling Services LLC | Counselor | 661 A, 31-w Bypass, Bowling Green, KY 42101 | 2019-02-18 |
| 1184104895 | Paige Spear | Specialist | 661 Us 31w Byp Ste C, Bowling Green, KY 42101 | 2018-08-21 |
| 1205364411 | Amanda Katherin Walden | Dentist | 725 A Kenton Street, Bowling Green, KY 42101 | 2017-06-01 |
| 1932632098 | Tj & L Consulting, LLC | In Home Supportive Care | 661 Us 31w By-pass, Suite G, Bowling Green, KY 42101 | 2017-04-06 |
| 1265974117 | Kentucky Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1473 Kentucky Street, Bowling Green, KY 42101 | 2016-11-09 |
| Find all providers in zip 42101 | ||||
| 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 |
|---|---|---|---|---|
| 1710118377 | James M. Rynerson Md Psc | Eyewear Supplier (Equipment, not the service) | 1901 Scottsville Rd, Bowling Green, KY 42104-3303 | 2009-07-30 |
| 1730235227 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2625 Scottsville Rd Ste 324, Bowling Green, KY 42104-6379 | 2007-01-26 |
| 1306920632 | Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 2608 Scottsville Road, Bowling Green, KY 42104 | 2006-10-24 |
| 1053724534 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1676 Westpark Dr, Bowling Green, KY 42104-4712 | 2014-06-03 |
| 1225354269 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2625 Scottsville Rd, Greenwood Mall, Bowling Green, KY 42104-4477 | 2010-04-15 |
| 1154441665 | Toledo Clinic Incorporated | Eyewear Supplier (Equipment, not the service) | 970 W Wooster St, Ste 221, Bowling Green, OH 43402 | 2007-03-29 |
| 1841331691 | Breiwa Ware & Jeskie Psc | Eyewear Supplier (Equipment, not the service) | 335 New Towne Rd, Bowling Green, KY 42103-7966 | 2007-02-12 |
| 1649329061 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 2625 Scottsville Rd, Greenwood Mall, Bowling Green, KY 42104-4477 | 2007-01-09 |
| 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 | ||||
| City | BOWLING GREEN |
| Zip Code | 42101 |
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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.