<unavail> in Jackson, KY

is a Optometrist based in Jackson, Kentucky. is licensed to practice in * (Not Available) (license number ) and their current practice location is 100 Highway 15 S Ste 108, Jackson, Kentucky. It can be reached at their office (for appointments etc.) via phone at (606) 666-9393.

NPI number for is 1881800589 and their current mailing address is 601 Perimeter Dr, Suite 200, Lexington, Kentucky. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1881800589.

Contact Information


	100 Highway 15 S Ste 108, Jackson, KY 41339-8895
	(606) 666-9393
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	100 Highway 15 S Ste 108, Jackson, Kentucky
Accepts Medicare Assignments	Does not participate in Medicare Program. The facility may not accept medicare assignment.

NPI Data:

NPI Number: 1881800589
Provider Enumeration Date: 05/16/2007
Last Update Date: 05/19/2021

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881800589	NPI	-	NPPES
7100233560	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
601 Perimeter Dr, Suite 200, Lexington, KY 40517-4121 Ph: (859) 278-9393	100 Highway 15 S Ste 108, Jackson, KY 41339-8895 Ph: (606) 666-9393

Reviews and Comments

Optometrist in Jackson, KY

Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Highway 15 S, Suite 108, Jackson, KY 41339 Phone: 606-666-4585 Fax: 606-666-4583
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Highway 15 S Ste 108, Jackson, KY 41339 Phone: 606-666-9393 Fax: 606-666-4131
Louis P Ellen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 540 Jett Dr, Jackson, KY 41339 Phone: 606-666-9393 Fax: 606-666-4131
John A Jones O.d., P.s.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 30 Howell Lane, Jackson, KY 41339 Phone: 606-666-2849 Fax: 606-666-2857

- Optometrist in Jackson, KY