CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC
NPI 1114964681
Optometrist in Springfield, KY

Active since June 01, 2006CLIA 18D1084102 · Waiver
108 COMMERCIAL AVE, SPRINGFIELD, KY 40069(859) 336-9388(859) 336-9970 Get Directions Write a Review

NPPES record last updated: November 19, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Central Kentucky Optometric Associates Psc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC (NPI 1114964681) is a healthcare organization registered as an optometrist in Springfield, Kentucky and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Patricia M Hollingsworth-cecconi, Sec/treas, as its authorized official.

NPPES Registry Identity

NPI1114964681
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameCENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC
Location Address108 COMMERCIAL AVESpringfield, KY 40069-1413
Mailing AddressPo Box 169Springfield, KY 40069-0169 · (859) 336-9388 · Fax (859) 336-9970
Fax(859) 336-9970
Organization SubpartNo
Authorized OfficialPatricia M Hollingsworth-cecconiSec/treas · (859) 336-9388
Enumeration DateJune 1, 2006
Last NPPES UpdateNovember 19, 2008
NPI 1114964681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
108 COMMERCIAL AVE, Springfield, KY 40069

Other Identifiers 3

Medicare ID-Type Unspecified5651KY · Group Medicare
Medicaid77903383KY
Medicare NSC1278880001KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D1084102

Central Kentucky Optometric Associates · Springfield, KY
Active · expires May 15, 2028
CLIA Number18D1084102
Laboratory TypePractitioner Other
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorJohn W. Cecconi
Laboratory Phone(859) 336-9388
Laboratory LocationCentral Kentucky Optometric Associates108 Commercial Avenue, Springfield, KY 40069
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
108 COMMERCIAL AVE
SPRINGFIELD, KY 40069
Dentist (General Practice)
108 COMMERCIAL AVE
SPRINGFIELD, KY 40069
Dentist (General Practice)
108 COMMERCIAL AVE
SPRINGFIELD, KY 40069

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Kentucky Optometric Associates Psc's NPI number?

The NPI number for Central Kentucky Optometric Associates Psc is 1114964681. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Central Kentucky Optometric Associates Psc located?

Central Kentucky Optometric Associates Psc is located at 108 Commercial Ave, Springfield, KY 40069. The listed phone number is (859) 336-9388.

What is Central Kentucky Optometric Associates Psc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Central Kentucky Optometric Associates Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1084102) is associated with this NPI, valid through May 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Central Kentucky Optometric Associates Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Central Kentucky Optometric Associates Psc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Central Kentucky Optometric Associates Psc was last updated on November 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.