Organization
ASSOCIATES IN EYE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WALTER UPCHURCH OD (PRESIDENT AND AUTHORIZED OFFICIAL)
(606) 387-5612
Entity
Organization
Contact information
Practice address
207 MAIN ST, WILLIAMSBURG, KY 40769-1121
(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
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279105
MEDICARE PIN FOR DR. ERIC TODD OVERLEY
KY
01
—
0279109
MEDICARE PIN FOR DR. STEPHEN MCKINLEY
KY
01
—
174791
BCBSTN/BLUECARE/TENNCARE
TN
01
—
62082
OPTUMHEALTH VISION
—
01
—
7100010460
MEDICAID # FOR DR. STEPHEN MCKINLEY
KY
05
—
7100210000
—
KY
01
—
77012904
MEDICAID # FOR DR. ERIC TODD OVERLEY
KY
05
—
77902161
—
KY
01
—
CB8623
RAILROAD MEDICARE
KY
01
—
CP0230:006
EYEMED
TN
05
—
Q048371
—
TN
Enumeration date
09/27/2006
Last updated
03/22/2021
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