DR. ROBERT LEE MCCLELLAN (NPI# 1265428940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265428940 |
| Entity Type | Individual |
| Full Name | DR. ROBERT LEE MCCLELLAN |
| Credential | OD |
| Practice Address |
115 S 5th St Bardstown KY 40004-1108 |
| Practice Telephone | 5023485125 |
| Practice Fax Number | 5023482485 |
| Mailing Telephone | 5023485125 |
| Mailing Fax Number | 5023482485 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2013-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 704DT | KY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 77007045 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770779621 | Robert William Mcclellan | Social Worker | 817 12th St, West Babylon, NY 11704-3116 | 2007-09-24 |
| 1225043961 | Robert Michael Mcclellan | Plastic Surgery | 1118 W Baltimore Pike, Suite 100, Health Center 4, Media, PA 19063-6104 | 2006-07-30 |
| 1588628259 | Robert J. Mcclellan | Occupational Therapist | 1700 Canton Hills Cir, Marietta, GA 30062-4612 | 2006-04-12 |
| 1396372371 | Robert Mcclellan | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2020-03-27 |
| 1467825661 | Robert Mcclellan | Social Worker | 6887 Dixie Hwy Ste A, Clarkston, MI 48346-5107 | 2015-11-10 |
| 1770618498 | Robert Bradley Mcclellan | Pediatrics | 245 Governors Dr Se, Huntsville, AL 35801-2700 | 2007-02-22 |
| 1518994797 | Robert Trigg Mcclellan | Orthopaedic Surgery | 1001 Potrero Avenue, Rm 3a36, San Francisco, CA 94110-3518 | 2006-06-26 |
| Street Address |
115 S 5TH ST |
| City | BARDSTOWN |
| State | KY |
| Zip Code | 40004-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043206105 | Darren Morgan Patrick | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2005-09-23 |
| 1235790999 | Meghan Gambrel | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2019-06-24 |
| 1215249479 | Leslie W. Cecil | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2010-07-04 |
| 1083844658 | Holly Renee Schat | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2009-07-17 |
| 1609096247 | Patrick Eye Care Pllc | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2007-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590880 | Flaget Healthcare, Inc | Clinic/Center | 4359 Shepherdsville Road, Ste 255, Bardstown, KY 40004 | 2020-08-28 |
| 1902421043 | Astra Recovery Centers, LLC | Substance Abuse Rehabilitation Facility | 202 Downs Lane, Bardstown, KY 40004 | 2020-06-15 |
| 1285296194 | Hardin Memorial Hospital | Pharmacy | 3615 E John Rowan Blvd, Bardstown, KY 40004 | 2019-07-01 |
| 1376024919 | Flaget Healthcare Inc | Clinic/Center | 110 N. Salem Drive, Bardstown, KY 40004 | 2018-08-22 |
| 1730697517 | Shannon Michelle Woods | Nurse Practitioner | 1095 Morton Ave, Bardstown, KY 40004 | 2018-01-16 |
| 1477922490 | Kristi Ballard | Counselor | 1000 E John Rowan Blvd Ste 107, Bardstown, KY 40004 | 2015-09-21 |
| 1659705309 | Patricia Hall | Speech-Language Pathologist | 310 South 6th Street, Bardstown, KY 40004 | 2013-08-29 |
| 1629314885 | Saint Joseph-anc Home Care Services, LLC | Hospice Care, Community Based | 711 Mcdowell Blvd, Bardstown, KY 40004 | 2012-12-17 |
| 1780920058 | Stars and Stripes Medical LLC | Durable Medical Equipment & Medical Supplies | 301 W. Stephen Foster Ave, Suite B., Bardstown, KY 40004 | 2012-12-14 |
| 1366790230 | Lynda Onyinyechi Uzonwune | Pharmacist | 202 West Stephen Foster Avenue, Bardstown, KY 40004 | 2012-08-26 |
| Find all providers in zip 40004 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497101125 | Virginia Martin | Optometrist | 2495 Ben Irvin Rd, Bardstown, KY 40004-9632 | 2016-05-12 |
| 1467583468 | David Thomas Woody | Optometrist | 311 N 3rd St, Bardstown, KY 40004-1507 | 2007-03-08 |
| 1083635676 | Thomas G. Brelage | Optometrist | 206 W John Fitch Ave, Bardstown, KY 40004-1115 | 2006-07-21 |
| 1043206105 | Darren Morgan Patrick | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2005-09-23 |
| 1235790999 | Meghan Gambrel | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2019-06-24 |
| 1215249479 | Leslie W. Cecil | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2010-07-04 |
| 1083844658 | Holly Renee Schat | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2009-07-17 |
| 1639380793 | Lisa Sloan Woody Od Psc Bardstown Eye Care | Optometrist | 311 N 3rd St, Bardstown, KY 40004-1507 | 2007-05-24 |
| 1609096247 | Patrick Eye Care Pllc | Optometrist | 115 S 5th St, Bardstown, KY 40004-1108 | 2007-04-26 |
| 1083745095 | Lisa Sloan Woody | Optometrist | 311 N 3rd St, Bardstown, KY 40004-1507 | 2007-03-08 |
| Find all providers in BARDSTOWN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.