Provider Demographics
NPI:1285817973
Name:LLOYD L. CAIN O.D,
Entity Type:Organization
Organization Name:LLOYD L. CAIN O.D,
Other - Org Name:RICHMOND STREET EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:L.
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CAIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:606-256-3937
Mailing Address - Street 1:PO BOX 1050
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:KY
Mailing Address - Zip Code:40456-1050
Mailing Address - Country:US
Mailing Address - Phone:606-256-3937
Mailing Address - Fax:606-256-9583
Practice Address - Street 1:205 RICHMOND STREET
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:KY
Practice Address - Zip Code:40456
Practice Address - Country:US
Practice Address - Phone:606-256-3937
Practice Address - Fax:606-256-9583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY1103332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0562760001Medicare NSC