DR. ORVILLE MAYO CLARK III (NPI# 1710022710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710022710 |
| Entity Type | Individual |
| Full Name | DR. ORVILLE MAYO CLARK III |
| Credential | OD |
| Practice Address |
237 Second Street Pikeville KY 41501 |
| Mailing Address |
Po Box 632 Pikeville KY 41502-0632 |
| Practice Telephone | 6064379955 |
| Mailing Telephone | 6064379955 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 0618001530 | VA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 0827DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77008274 | 05 |
| Street Address |
237 SECOND STREET |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| 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 |
|---|---|---|---|---|
| 1023504974 | Samantha E. Myers | Optometrist | 911 Bypass Rd # Clinic9, Pikeville, KY 41501-1689 | 2018-07-03 |
| 1053799957 | Howard Family Eyecare LLC | Optometrist | 419 Town Mountain Rd Ste 100, Pikeville, KY 41501-1631 | 2015-05-12 |
| 1003960634 | Jeffrey Shane Osborne | Optometrist | 3469 N. Mayo Trail, Pikeville, KY 41501 | 2007-01-22 |
| 1851310817 | Regina K Compton | Optometrist | 4219 North Mayo Trail, Pikeville, KY 41501 | 2006-07-19 |
| 1053354571 | James Kendall Cecil | Optometrist | 3469 N Mayo Trl, Pikeville, KY 41501-3265 | 2006-06-13 |
| 1639117443 | Mark Rolland Myers | Optometrist | 109 Caroline Ave, Pikeville, KY 41501-1101 | 2006-06-03 |
| 1497238547 | Zachary Thomas Walters | Optometrist | 3469 N Mayo Trl, Pikeville, KY 41501-3265 | 2018-09-13 |
| 1497232425 | Ryan Eric Kern | Optometrist | 911 Bypass Rd # Clinic9, Pikeville, KY 41501-1689 | 2018-07-23 |
| 1336599331 | Rachel L Fitzgerald | Optometrist | 147 Sycamore St, Pikeville, KY 41501 | 2016-06-21 |
| 1841657947 | University of Pikeville | Optometrist | 147 Sycamore St, Pikeville, KY 41501 | 2016-01-20 |
| Find all providers in PIKEVILLE | ||||
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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.