BROADWAY EYE CARE ASSOCIATES, PSC (NPI# 1649431560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649431560 |
| Entity Type | Organization |
| Organization Name | BROADWAY EYE CARE ASSOCIATES, PSC |
| Practice Address |
2600 W Broadway Ste 105 Louisville KY 40211-1303 |
| Mailing Address |
Po Box 11744 Louisville KY 40251-0744 |
| Practice Telephone | 5027723625 |
| Practice Fax Number | 5027723037 |
| Mailing Telephone | 5027723625 |
| Mailing Fax Number | 5027723037 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | DR. SHORYE PAYNE (PRESIDENT & CEO) |
| Authorized Official Telephone | 5027723625 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
2600 W BROADWAY STE 105 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40211-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508400052 | West Broadway Chiropractic & Rehab Center,psc | Chiropractor | 2600 W Broadway Ste 105, Louisville, KY 40211-1303 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942792940 | Kare LLC | Dentist | 2500 W Broadway Ste 500, Louisville, KY 40211 | 2018-06-05 |
| 1265943716 | Practicare Home Care Services, LLC | Nurse Practitioner | 1667 Russell Lee Dr, Louisville, KY 40211 | 2017-10-23 |
| 1518478221 | Latoya Samantha Hall | Counselor | 646 South 36th Street, Louisville, KY 40211 | 2017-10-20 |
| 1003071200 | Mark Cassol Md Psc | Ophthalmology | 2600 W. Broadway, Suite 105, Louisville, KY 40211 | 2008-07-28 |
| 1194919548 | Hardin Housing Corp | Assisted Living Facility | 2035 S 41st St, Louisville, KY 40211 | 2007-08-29 |
| 1184770562 | Eta Day Care Center LLC | Case Management | 724 So 44th Street, Louisville, KY 40211 | 2007-01-26 |
| 1871571356 | Alice C Gunnison | Physician Assistant | 2406 West Broadway, Jencare Neighborhood Medical Center West Broadway, LLC, Louisville, KY 40211 | 2006-01-05 |
| 1730733783 | Mark A Bush | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-07-29 |
| 1407419237 | Gina M Beckford | Nurse Practitioner | 3015 Wilson Ave, Louisville, KY 40211 | 2019-04-17 |
| 1730694266 | Orchid House, Inc. | Early Intervention Provider Agency | 703 S 31st St, Louisville, KY 40211 | 2017-12-06 |
| Find all providers in zip 40211 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710257316 | Anupa Mandava | Ophthalmology | 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 | 2012-01-12 |
| 1508133174 | Donald L. Kellum | Ophthalmology | 410 Orchard Dr, Louisville, CO 80027-3248 | 2011-11-25 |
| 1720376338 | Thong Diep Pham | Ophthalmology | 301 East Muhammad Ali Boulevard, Louisville, KY 40201 | 2011-07-17 |
| 1851622914 | Martha K Heyburn | Ophthalmology | 3719 Fairway Ln, Louisville, KY 40207-1414 | 2010-01-28 |
| 1003071200 | Mark Cassol Md Psc | Ophthalmology | 2600 W. Broadway, Suite 105, Louisville, KY 40211 | 2008-07-28 |
| 1164682084 | Anne P Rowland | Ophthalmology | 9200 Leesgate Rd Ste 100, Louisville, KY 40222-5173 | 2008-06-13 |
| 1093998171 | M. Douglas Gossman, Md, Pllc | Ophthalmology | 2302 Hurstbourne Village Dr Ste 700, Louisville, KY 40299-1878 | 2007-12-11 |
| 1801096136 | Kentucky Pediatric Ophthalmology and Strabismus, Pllc | Ophthalmology | 1102 Lyndon Ln, Suite A, Louisville, KY 40222-4318 | 2007-07-24 |
| 1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
| 1811102080 | Gregory Michael Sulkowski | Ophthalmology | 1169 Eastern Pkwy Ste 3427, Louisville, KY 40217-1420 | 2007-05-11 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40211 |
Please comment or provide details below to improve the information on BROADWAY EYE CARE ASSOCIATES, PSC.
| 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.