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MCCLOUD EYE CARE CENTER INC NPI 1497936256


NPI Information

NPI: 1497936256
Provider Name: MCCLOUD EYE CARE CENTER INC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
107 E MAIN ST
GRAYSON, KY
ZIP 41143
Phone: (606) 474-5149
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MCCLOUD EYE CARE CENTER INC is an optometrist in Grayson, KY. The provider is 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. MCCLOUD EYE CARE CENTER INC NPI is 1497936256. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 E MAIN ST
GRAYSON, KY
ZIP 41143-301
Phone: (606) 474-5149
Fax: (606) 474-0648

The provider's authorized official is Jason H Mccloud .
The authorized official title is Optometrist and has the following contact phone number (606) 474-5149.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 12/29/2011.


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
1152W00000XOptometrist1585DTKENTUCKYYes

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
14938850001MEDICARE NSCKENTUCKY
27987OTHERKENTUCKYMEDICARE GROUP #
30798701MEDICARE PINKENTUCKY
4U96210MEDICARE UPINKENTUCKY
577000859MEDICAIDKENTUCKY
677903649MEDICAIDKENTUCKY

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: 5/5/2024

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