DR. STEPHEN M MCKINLEY (NPI# 1902903511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902903511 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN M MCKINLEY |
| Credential | OD |
| Practice Address |
86 Medical Ln Whitley City KY 42653-4216 |
| Mailing Address |
Po Box 306 Ferguson KY 42533-0306 |
| Practice Telephone | 6063765258 |
| Practice Fax Number | 6063762045 |
| Mailing Telephone | 6064922211 |
| Mailing Fax Number | 6066760873 |
| Enumeration Date | 2006-09-19 |
| Last Update Date | 2019-12-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2659 | TN | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 1676DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100210000 | 05 | |
| AMERIGROUP | 01177961 | 01 | |
| TN | 3946891 | 05 | |
| TN | 3946892 | 05 | |
| KY | 7100209960 | 05 | |
| KY | RAILROAD MEDICARE(PTAN) | P00443168 | 01 |
| KY | RAILROAD MEDICARE GROUP # FOR WILLIAMSBURG | DG5893 | 01 |
| TN | TENNCARE/BLUECARE/BCBSTN | 4163597 | 01 |
| RAILROAD MEDICARE FOR JELLICO | PO0760685 | 01 | |
| KY | 7100209950 | 05 | |
| KY | 7100212600 | 05 | |
| KY | AVESIS/MEDICAID | 5185 | 01 |
| KY | 7100010460 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 16605 Alberta St, Oneida, TN 378416283 | 4235699339 | 4235691316 |
| 3810 S Highway 27 Ste 1, Somerset, KY 425013073 | 6066784551 | 6066780972 |
| 467 Sunset Trl, Jellico, TN 377622709 | 4237842020 | 4237844940 |
| Street Address |
86 MEDICAL LN |
| City | WHITLEY CITY |
| State | KY |
| Zip Code | 42653-4216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528358520 | Hometown Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 86 Medical Ln, Whitley City, KY 42653-1180 | 2011-04-11 |
| 1760573497 | Associates In Eye Care, Inc. | Optometrist | 86 Medical Ln, Whitley City, KY 42653-4216 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407472319 | Family Health Care Associates 7 Limited Liability Company | Clinic/Center | 422 N Highway 27, Whitley City, KY 42653 | 2020-06-17 |
| 1912423435 | Eric Shannon Polston | Pharmacist | 43 Medical Lane, Whitley City, KY 42653 | 2017-08-16 |
| 1588187884 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 500 N Hwy 27, Whitley City, KY 42653 | 2017-07-19 |
| 1912324609 | Dustin Hamlin | Nurse Practitioner | 1570 N. Us 27, Whitley City, KY 42653 | 2014-03-20 |
| 1548529159 | Amy Mlynn Strunk | Developmental Therapist | 10 Tobby Lane, Whitley City, KY 42653 | 2012-05-16 |
| 1275810616 | Wcps LLC | Durable Medical Equipment & Medical Supplies | 66 Center Ave, Whitley City, KY 42653 | 2011-11-14 |
| 1083905152 | Johnny Lynn Cowell | Pharmacist | 500 North Hwy 27, Whitley City, KY 42653 | 2011-04-25 |
| 1073802146 | Yhp2 LLC | Pharmacist | 1187 North Highway 27, Whitley City, KY 42653 | 2011-03-29 |
| 1760701635 | South Creek Eye Center Psc | Ophthalmology | 551 N Hwy. 27, Whitley City, KY 42653 | 2010-05-18 |
| 1134452014 | Quest Community Services, Inc | Case Management | 2901 North Hwy 1651, Whitley City, KY 42653 | 2009-09-10 |
| Find all providers in zip 42653 | ||||
| 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 |
|---|---|---|---|---|
| 1760573497 | Associates In Eye Care, Inc. | Optometrist | 86 Medical Ln, Whitley City, KY 42653-4216 | 2006-09-27 |
| 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 | ||||
| City | WHITLEY CITY |
| Zip Code | 42653 |
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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.