Provider Demographics
NPI:1760573497
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 1:86 MEDICAL LN
Practice Address - Street 2:
Practice Address - City:WHITLEY CITY
Practice Address - State:KY
Practice Address - Zip Code:42653-4216
Practice Address - Country:US
Practice Address - Phone:606-376-5258
Practice Address - Fax:606-376-2045
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
KY152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
65398OtherOPTUMHEALTH VISION
KY0880904OtherMEDICARE # FOR DR. LINDSAY MCKINLEY
TN4599125OtherMEDICARE
KY7100010450OtherMEDICAID # FOR DR. LINDSAY MCKINLEY
KY7100010460OtherMEDICAID # FOR DR. STEPHEN MCKINLEY
KY77900793Medicaid
TN0049606OtherBCBSTN/BLUECARE/TENNCARE FOR DR. FREDERICK MARTIN
TN4104981OtherBCBSTN/BLUECARE/TENNCARE
TN4163597OtherBCBSTN/BLUECARE/TENNCARE FOR DR. STEPHEN MCKINLEY
CP0230:009OtherEYEMED
KY77008167OtherMEDICAID # FOR DR. FREDERICK MARTIN
KY0880902OtherMEDICARE # FOR DR. FREDERICK MARTIN
KY0880905OtherMEDICARE # FOR DR. STEPHEN MCKINLEY
TN4159461OtherBCBSTN/BLUECARE/TENNCARE FOR DR. LINDSAY MCKINLEY
TN3946965OtherTN MEDICARE # FOR DR. LINDSAY MCKINLEY
KY7100212600Medicaid
KYCB8623OtherRAILROAD MEDICARE
KY0487990002Medicare NSC