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
3810 S HWY 27, SUITE 1, SOMERSET, KY 42501-3073
(606) 678-4551
(606) 678-0972
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015403
BLOCK VISION
—
01
—
0241603
MEDICARE PIN FOR DR. MARK JACOBS
KY
01
—
0241609
MEDICARE PIN FOR DR. STEPHEN MCKINLEY
KY
01
—
0241610
MEDICARE PIN FOR DR. FREDERICK MARTIN
KY
01
—
39976; 4209301
BCBSTN/BLUECARE/TENNCARE
TN
01
—
65397
OPTUMHEALTH VISION
—
01
—
7100010460
MEDICAID # FOR DR. STEPHEN MCKINLEY
KY
05
—
7100209960
—
KY
01
—
77008167
MEDICAID # FOR DR. FREDERICK MARTIN
KY
01
—
77012011
MEDICAID # FOR DR. MARK JACOBS
KY
05
—
77901577
—
KY
01
—
CB8623
RAILROAD MEDICARE
KY
01
—
CP0230:010
EYEMED
—
Enumeration date
09/19/2006
Last updated
03/22/2021
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