Individual
DR. ERIC TODD OVERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
640 W HIGHWAY 92 STE 3, WILLIAMSBURG, KY 40769-1936
(606) 549-0464
(606) 549-0438
Mailing address
PO BOX 306, FERGUSON, KY 42533-0306
(606) 492-2211
(606) 676-0873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1290DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01259225
AMERIGROUP
—
01
—
3061983
BCBSTN/BLUECARE/TENNCARE
TN
01
—
3073709
BCBSTN/BLUECARE/TENNCARE
TN
01
—
3074226
BCBSTN/BLUECARE/TENNCARE
TN
01
—
410027774
RAILROAD MEDICARE
KY
01
—
4602
AVESIS/MEDICAID
KY
05
—
7100209950
—
KY
05
—
7100210000
—
KY
05
—
77012904
—
KY
Enumeration date
06/21/2005
Last updated
05/11/2026
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