1073666343 NPI number — MRS. LINDA HATCHER OPTHALMIC DISPENSER

Table of content: DR. THOMAS P ASHDOWN DPM (NPI 1972582922)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073666343 NPI number — MRS. LINDA HATCHER OPTHALMIC DISPENSER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HATCHER
Provider First Name:
LINDA
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
OPTHALMIC DISPENSER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1073666343
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/09/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
246 POPLAR AVE
Provider Second Line Business Mailing Address:
SUITE 1
Provider Business Mailing Address City Name:
SOMERSET
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42503-1701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-679-8469
Provider Business Mailing Address Fax Number:
606-678-8891

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
246 POPLAR AVE
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42503-1701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-679-8469
Provider Business Practice Location Address Fax Number:
606-678-8891
Provider Enumeration Date:
01/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 156FX1800X , with the licence number:  498 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 180021 0118 . This is a "NVA PROVIDER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 52800950 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 52904984 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 33451 . This is a "AVESIS PROVIDER ID" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 246909 . This is a "CLARITY PROVIDER ID" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 10199 . This is a "SPECTERA INSURANCE PROVID" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 50525 . This is a "DAVIS VISION PROVIDER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000340307 . This is a "BCBS PROVIDER NUMBER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 1176629 . This is a "CHA HEALTH PROVIDER NUMBE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: OP1414 . This is a "EYEMED PROVIDER" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".




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