Mccloud Eye Care Center Inc

LBN: Mccloud Eye Care Center Inc
Mccloud Eye Care Center Inc is an health care organization with primary practice located at 107 E Main St , Grayson KY 41143-1301. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Mccloud Eye Care Center Inc can be contacted via phone (606) 474-5149, or through Mccloud, Jason H via phone (606) 474-5149.

Contact Information

Primary practice address
107 E Main St Grayson KY 41143-1301
Phone: (606) 474-5149
Fax: (606) 474-0648
Website:
Map and Directions
Authorized official contact:
Name: Mccloud, Jason H Doctor of Optometry (OD)
Phone: (606) 474-5149

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1585DT Kentucky

Profile Details

NPI number 1497936256
LBN Legal business name Mccloud Eye Care Center Inc
DBA Doing business as
Authorized official Mccloud, Jason H Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2007
Last updated Dec 29th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497936256 NPPES
Kentucky Other 7987 MEDICARE GROUP #
Kentucky MEDICAID 77903649 MEDICARE GROUP #
Kentucky MEDICAID 77000859 MEDICARE GROUP #

Popular Providers