TODD MCGEORGE O.D. NPI 1215111612

NPI Information

  • NPI: 1215111612
  • Provider Name: TODD MCGEORGE O.D.
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: CLEAR VISION EYECARE
  • Address: 2131 CUMBERLAND AVE
    MIDDLESBORO, KY
    ZIP 40965
  • Phone: (606) 242-2278

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NPI Details

TODD MCGEORGE O.D. is an eyewear supplier in Middlesboro, KY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TODD MCGEORGE O.D. NPI is 1215111612. The provider is registered as an organization entity type.
The provider Is Doing Business As Clear Vision Eyecare.

The provider's business location address is:

2131 CUMBERLAND AVE
MIDDLESBORO, KY
ZIP 40965-830
Phone: (606) 242-2278
Fax: (606) 242-2270

The provider's authorized official is Todd Marvin Mcgeorge .
The authorized official title is Owner and has the following contact phone number (606) 242-2278.

The enumeration date for this NPI number is 12/20/2007 and was last updated on 6/12/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier1298DTKENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
177901155MEDICAIDKENTUCKY
2U84161MEDICARE UPINKENTUCKY
31873001MEDICARE PINKENTUCKY
44111070001MEDICARE NSCKENTUCKY

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: 11/21/2025

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