Provider Type Icon

PROFESSIONAL OPTICIANS PSC NPI 1194834713


NPI Information

NPI: 1194834713
Provider Name: PROFESSIONAL OPTICIANS PSC
Classification: Technician/Technologist - 156FX1800X
Entity Type: Organization

Specialization: Optician

Address:
165 MOORE DR
LEXINGTON, KY
ZIP 40503
Phone: (859) 278-5409
Get Directions

PROFESSIONAL OPTICIANS PSC is an optician technician technologist in Lexington, KY. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. PROFESSIONAL OPTICIANS PSC NPI is 1194834713. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

165 MOORE DR
LEXINGTON, KY
ZIP 40503
Phone: (859) 278-5409
Fax: (859) 276-3491

The provider's authorized official is John C Holtmann .
The authorized official title is President and has the following contact phone number (859) 278-5409.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOptician0366KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
152903663MEDICAIDKENTUCKY
214560OTHERKENTUCKYAVESIS
3000000066363OTHERKENTUCKYANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.