COLLABORATIVE CARE MEDICAL ASSOCIATES INC. (NPI# 1558690180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558690180 |
| Entity Type | Organization |
| Organization Name | COLLABORATIVE CARE MEDICAL ASSOCIATES INC. |
| Practice Address |
941 N Main St Hazard KY 41701-1377 |
| Practice Telephone | 6064394010 |
| Practice Fax Number | 6064390880 |
| Mailing Telephone | 6064394010 |
| Mailing Fax Number | 6064390880 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2011-01-24 |
| Authorized Official Name | DWIGHT L AVERY (OWNER) |
| Authorized Official Telephone | 6064394010 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 5556P | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 152W00000X | Optometrist | 1120DT | KY | Eye and Vision Services Providers |
| Street Address |
941 N MAIN ST |
| City | HAZARD |
| State | KY |
| Zip Code | 41701-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528557147 | Mercy Medical Clinic Pllc | Family Medicine | 14659 Us N Hwy 25e, Ste 16, Corbin, KY 41701 | 2018-05-09 |
| 1770080574 | John Corey Taylor | Student in an Organized Health Care Education/Training Program | 750 Morton Blvd., Hazard, KY 41701 | 2018-04-09 |
| 1700304714 | Kentucky River District Health Department | Public Health or Welfare | 72 Miss Edna Lane, Hazard, KY 41701 | 2017-08-30 |
| 1932637972 | Uvalyne Diane Preston | Dietitian, Registered | 210 Black Gold Blvd., Suite 107, Hazard Va Clinic, Hazard, KY 41701 | 2017-06-02 |
| 1124471370 | Family Center LLC | Specialist/Technologist, Other | 101 Town and Country Lane, Hazard, KY 41701 | 2016-07-22 |
| 1558730168 | Southgate Independent School District | Local Education Agency (LEA) | 6 William Blatt Ave, Southgate, KY 41701 | 2015-09-24 |
| 1285016980 | Jonathan Sizemore | Speech-Language Pathologist | 9821 Ky Hwy 476, Hazard, KY 41701 | 2015-06-18 |
| 1295126233 | Herbal Secrets | Skilled Nursing Facility | 202 Cliff View Lane, Hazard, KY 41701 | 2015-02-12 |
| 1417393414 | Bhg Xxvi, LLC | Case Management | 48 Independence Drive, Hazard, KY 41701 | 2013-05-16 |
| 1447585336 | Ace Clinique Pharmacy | Pharmacy | 207 Roy Campbell Dr, Hazard, KY 41701 | 2009-10-09 |
| Find all providers in zip 41701 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992883243 | Dwight L Avery | Optometrist | 941 N Main Street, Hazard, KY 41701 | 2006-11-02 |
| 1396974077 | Southeast Vision Associates, LLC | Optometrist | 120 Daniel Boone Plz, Hazard, KY 41701-5335 | 2009-07-02 |
| 1265637565 | Wm. Dwayne Sizemore, O.d., Psc | Optometrist | 161 Citizens Ln, Hazard, KY 41701-1352 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443163 | Eyemax2020 | Optometrist | 3070 Harrodsburg Rd Ste 130, Lexington, KY 40503-2764 | 2020-10-05 |
| 1639780224 | Family First Vision Care Kentucky | Optometrist | 3801 Mall Rd Ste 115, Lexington, KY 40503-4492 | 2020-08-17 |
| 1548871130 | Family First Vision Care Kentucky | Optometrist | 4318 Alexandria Pike, Cold Spring, KY 41076-2040 | 2020-08-17 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1164032512 | Bright Eyes Clinic, LLC | Optometrist | 2290 W Jeff Davis Hwy, Elkton, KY 42220-8708 | 2020-07-31 |
| 1568080828 | Maivys Hernandez Longa | Optometrist | 715 Shaker Dr Ste 120, Lexington, KY 40504-3674 | 2020-07-13 |
| 1154949147 | Garrett Scott Kee | Optometrist | 166 S Carol Malone Blvd Ste A, Grayson, KY 41143-1352 | 2020-07-07 |
| 1275150310 | Liza Stremick | Optometrist | 3701 Hopewell Rd Ste 900, Louisville, KY 40299-5395 | 2020-07-05 |
| 1063039451 | Haleigh Stringer | Optometrist | 2905 New Hartford Rd, Owensboro, KY 42303-1323 | 2020-07-01 |
| 1063045284 | National Vision Inc | Optometrist | 10337 Dixie Hwy, Louisville, KY 40272-3951 | 2020-02-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COLLABORATIVE CARE MEDICAL ASSOCIATES INC..
| 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.