CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC (NPI# 1902843378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902843378 |
| Entity Type | Organization |
| Organization Name | CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC |
| Practice Address |
310 W High St Lebanon KY 40033-1428 |
| Practice Telephone | 2706921871 |
| Practice Fax Number | 2706926785 |
| Mailing Telephone | 2706921871 |
| Mailing Fax Number | 2706926785 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-01-26 |
| Authorized Official Name | DR. PATRICIA M HOLLINGSWORTH-CECCONI (SECTREAS) |
| Authorized Official Telephone | 2706921871 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77903391 | 05 | |
| KY | RAILROAD MEDICARE | 1902843378 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558558361 | Central Kentucky Optometric Associates Psc | Optometrist | 1578 Highway 44 E Unit 7, Shepherdsville, KY 40165-7172 | 2007-09-26 |
| 1114964681 | Central Kentucky Optometric Associates Psc | Optometrist | 108 Commercial Ave, Springfield, KY 40069-1413 | 2006-06-01 |
| Street Address |
310 W HIGH ST |
| City | LEBANON |
| State | KY |
| Zip Code | 40033-1428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851396592 | Patricia Mary Hollingsworth-cecconi | Optometrist | 310 W High St, Lebanon, KY 40033-1428 | 2005-06-18 |
| 1174593701 | Paul G Taylor | Optometrist | 310 W High St, Lebanon, KY 40033-1428 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538636311 | One Cross Health Clinic, Inc. | Clinic/Center | 305 Koehler Drive, Lebanon, KY 40033 | 2018-10-30 |
| 1467848952 | Kelly Renee Deatley | Family Medicine | 325 W Walnut St Ste 600, Lebanon, KY 40033 | 2015-04-10 |
| 1003204892 | Mmhh, LLC | Clinic/Center | 135 E. Martin Luther King Ave., Lebanon, KY 40033 | 2014-12-31 |
| 1194964510 | Gregory W. Schall, Do, Pllc | Family Medicine | 312 W High Street, Lebanon, KY 40033 | 2009-02-09 |
| 1780859553 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 2136 Campbellsville Road, Lebanon, KY 40033 | 2008-04-23 |
| 1144491234 | William Duley IIi | Dentist | 219 West Main St, Lebanon, KY 40033 | 2008-03-17 |
| 1891965927 | Dana Michelle Logsdon | Nurse Practitioner | 727 W. Main St., Lebanon, KY 40033 | 2008-03-05 |
| 1669523684 | The Childrens Clinic, Pllc. | Pediatrics | 420 Loretta Road, Lebanon, KY 40033 | 2007-01-16 |
| 1215022348 | Marion County Anesthesia Associates Pllc | Nurse Anesthetist, Certified Registered | 320 Loretto Road, Lebanon, KY 40033 | 2006-10-04 |
| 1568479426 | Daniel Earl Bailey Jr. | Specialist | 420 Loretto Rd, Suite 600, Lebanon, KY 40033 | 2006-08-02 |
| Find all providers in zip 40033 | ||||
| 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 |
|---|---|---|---|---|
| 1639731250 | Caitlin Squires | Optometrist | 90 Market St Ste 20, Lebanon, OR 97355-2396 | 2019-07-03 |
| 1083100424 | Myeyedr Optometry of Indiana, LLC | Optometrist | 2705 N Lebanon St Ste 230, Lebanon, IN 46052-8627 | 2018-07-09 |
| 1184118747 | Brian Swoyer | Optometrist | 758 Cumberland St, Lebanon, PA 17042-5247 | 2018-06-18 |
| 1841727286 | Tyler Ross Boone | Optometrist | 404 N Castle Heights Ave Ste A, Lebanon, TN 37087-1512 | 2017-05-16 |
| 1104255942 | Eyecare Indiana | Optometrist | 1202 N Lebanon St, Lebanon, IN 46052-1510 | 2013-11-02 |
| 1407160120 | Mascoma Eyecare | Optometrist | 24 Hanover Street, Suite 3a, Lebanon, NH 03766-1334 | 2010-08-05 |
| 1063654838 | Independence Corporation | Optometrist | 905 E Cumberland St, Lebanon, PA 17042-8102 | 2009-03-25 |
| 1316078868 | Michael Montgomery Od PC | Optometrist | 279 E Elm, Lebanon, MO 65536 | 2007-03-08 |
| 1659407989 | Melissa Sue Kerby | Optometrist | 1001 Monroe Rd, Lebanon, OH 45036-1414 | 2007-02-23 |
| 1144378480 | William Grant IIi | Optometrist | 19595 Houston Rd, Lebanon, MO 65536-8252 | 2007-01-05 |
| Find all providers in LEBANON | ||||
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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.