ELIZABETHTOWN EYE CARE
NPI 1366814824
Optometrist in Elizabethtown, KY

Active since October 23, 2015
103 DIECKS DR, ELIZABETHTOWN, KY 42701(270) 769-1397(270) 765-4899 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Nov 24, 2015, Nov 18, 2015 (3 updates tracked since 2015).

About Elizabethtown Eye Care NPPES

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

ELIZABETHTOWN EYE CARE (NPI 1366814824) is a healthcare organization registered as an optometrist in Elizabethtown, Kentucky and active in the NPI registry since October 2015. The organization lists Cristina Villanueva Patrick, Owner, as its authorized official.

NPPES Registry Identity

NPI1366814824
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameC EYE CARE PLLC
Location Address103 DIECKS DRElizabethtown, KY 42701-2444
Mailing Address103 Diecks DrElizabethtown, KY 42701-2444 · (270) 769-1397 · Fax (270) 765-4899
Fax(270) 765-4899
Organization SubpartNo
Authorized OfficialCristina Villanueva PatrickOwner · (502) 418-5677
Enumeration DateOctober 23, 2015
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
✔ NPI 1366814824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in KY · 1493DT
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.
103 DIECKS DR, Elizabethtown, KY 42701

Other Names 1

Doing Business AsElizabethtown Eye Care

Other Identifiers 1

Medicaid77000222KY

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elizabethtown Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateKentuckyEnrollment IDO20151130001348Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Elizabethtown Eye Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Optometry
NPI 1417943580
103 DIECKS DR
Elizabethtown, KY 42701
(270) 769-1397
✔ PECOS✔ Accepts MedicareSame address

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 C Eye Care PLLC's NPI number?

The NPI number for C Eye Care PLLC is 1366814824. It was assigned to this organization in the NPPES registry on October 23, 2015. The provider is doing business as Elizabethtown Eye Care.

Where is C Eye Care PLLC located?

C Eye Care PLLC is located at 103 Diecks Dr, Elizabethtown, KY 42701. The listed phone number is (270) 769-1397.

What is C Eye Care PLLC's specialty?

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

Is C Eye Care PLLC enrolled in Medicare?

Yes. C Eye Care PLLC is registered in the Medicare PECOS enrollment system.

When is C Eye Care PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Kentucky, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through C Eye Care PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to C Eye Care PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does C Eye Care PLLC accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list C Eye Care PLLC 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 C Eye Care PLLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.