Downey, Max Mitchell
Downey, Max Mitchell is an sole proprietor health care provider with primary practice located at 301 Burkesville St , Columbia KY 42728-1921. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is his primary health care specialty. Downey, Max Mitchell can be contacted via phone (270) 384-6043.Contact Information
Primary practice address
301 Burkesville St
Columbia KY 42728-1921
Phone: (270) 384-6043
Fax: (270) 384-0672
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 979DT | Kentucky |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | KY979DT | Kentucky |
Profile Details
| NPI number | 1689675159 |
|---|---|
| LBN Legal business name | Downey, Max Mitchell |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Sep 16th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689675159 | NPPES |
| Kentucky | Other | 1841253424 | GROUP NPI |
| Kentucky | MEDICAID | 77009793 | GROUP NPI |
| Kentucky | Other | 0738910001 | GROUP NPI |
| Kentucky | MEDICAID | 77904126 | GROUP NPI |
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