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SOUTHERN KENTUCKY EYE CENTER PSC
NPI 1285776476
Ophthalmology in Somerset, KY

Active since February 13, 2007
120 TRADEPARK DR, SUITE A, SOMERSET, KY 42503(606) 679-7778(606) 451-1814 Get Directions Write a Review

NPPES record last updated: July 16, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southern Kentucky Eye Center Psc NPPES

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

SOUTHERN KENTUCKY EYE CENTER PSC (NPI 1285776476) is a healthcare organization registered as an ophthalmology in Somerset, Kentucky and active in the NPI registry since February 2007. The organization lists Terri Coomer, Billing Dept Manager, as its authorized official.

NPPES Registry Identity

NPI1285776476
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameSOUTHERN KENTUCKY EYE CENTER PSC
Location Address120 TRADEPARK DR, SUITE ASomerset, KY 42503-3454
Mailing Address120 Tradepark Dr, Suite ASomerset, KY 42503-3454 · (606) 679-7778 · Fax (606) 451-1814
Phone(606) 679-7778
Fax(606) 451-1814
Organization SubpartNo
Authorized OfficialTerri CoomerBilling Dept Manager · (606) 679-5837
Enumeration DateFebruary 13, 2007
Last NPPES UpdateJuly 16, 2019
✔ NPI 1285776476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOptometristTaxonomy 152W00000X
120 TRADEPARK DR, Somerset, KY 42503
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Other Identifiers 6

Other3061400TN · Bcbs
Medicaid65928939KY
Other1520956KY · Umwa
Medicaid4020794TN
Other180028760Railroad Medicare
Other000000041743KY · Bluecross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southern Kentucky Eye Center Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southern Kentucky Eye Center Psc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mark Henry, MD
Ophthalmology
NPI 1972587251
120 TRADEPARK DR STE A
Somerset, KY 42503
(606) 679-7778
✔ PECOS✔ Accepts Medicare7.2 mi
Kathryn Wilson, DO
Optometry
NPI 1851777825
3810 S HIGHWAY 27 STE 1
Somerset, KY 42501
(606) 678-4551
✔ PECOS✔ Accepts Medicare9.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southern Kentucky Eye Center Psc's NPI number?

The NPI number for Southern Kentucky Eye Center Psc is 1285776476. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Southern Kentucky Eye Center Psc located?

Southern Kentucky Eye Center Psc is located at 120 Tradepark Dr Suite A, Somerset, KY 42503. The listed phone number is (606) 679-7778.

What is Southern Kentucky Eye Center Psc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Southern Kentucky Eye Center Psc enrolled in Medicare?

Yes. Southern Kentucky Eye Center Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southern Kentucky Eye Center Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Southern Kentucky Eye Center Psc, in Ophthalmology and Optometry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southern Kentucky Eye Center Psc accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Southern Kentucky Eye Center 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 Southern Kentucky Eye Center Psc was last updated on July 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.