Provider Demographics
NPI:1679664304
Name:ASSOCIATES IN EYE CARE, INC.
Entity type:Organization
Organization Name:ASSOCIATES IN EYE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:WALTER
Authorized Official - Last Name:UPCHURCH
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:606-387-5612
Mailing Address - Street 1:PO BOX 306
Mailing Address - Street 2:
Mailing Address - City:FERGUSON
Mailing Address - State:KY
Mailing Address - Zip Code:42533-0306
Mailing Address - Country:US
Mailing Address - Phone:606-492-2211
Mailing Address - Fax:606-676-0873
Practice Address - Street 1:16605 ALBERTA ROAD
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:TN
Practice Address - Zip Code:37841-2515
Practice Address - Country:US
Practice Address - Phone:423-569-9339
Practice Address - Fax:423-569-1316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3941367; 3941363OtherMEDICAID # FOR DR. KEVIN MYSLIWIEC
TN3946965OtherMEDICARE PIN FOR DR. LINDSAY MCKINLEY
TNCJ5379OtherRAILROAD MEDICARE
TN3946891; 3946892OtherMEDICARE PIN FOR DR. STEPHEN MCKINLEY
TN3941348Medicaid
CP0230:011OtherEYEMED
TN3941367OtherMEDICARE PIN FOR DR. KEVIN MYSLIWIEC
TN3946891; 3946892OtherMEDICAID # FOR DR. STEPHEN MCKINLEY
62080OtherOPTUMHEALTH VISION
TN174791; 410981OtherBCBSTN/BLUECARE/TENNCARE
TN3946965OtherMEDICAID # FOR DR. LINDSAY MCKINLEY
62080OtherOPTUMHEALTH VISION
CP0230:011OtherEYEMED