Provider Demographics
NPI:1427149160
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 1:127 FOOTHILLS AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ALBANY
Mailing Address - State:KY
Mailing Address - Zip Code:42602-1090
Mailing Address - Country:US
Mailing Address - Phone:606-387-5612
Mailing Address - Fax:606-387-6602
Practice Address - Street 1:467 SUNSET TRAIL
Practice Address - Street 2:
Practice Address - City:JELLICO
Practice Address - State:TN
Practice Address - Zip Code:37762-2709
Practice Address - Country:US
Practice Address - Phone:423-784-2020
Practice Address - Fax:423-784-4940
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
TN152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYK217560OtherMEDICARE
TN3941098OtherMEDICAID # FOR DR. ERIC TODD OVERLEY
TN3946892Medicaid
TN4209308OtherBLUECARE/TENNCARE/BCBSTN
AO0136:001OtherEYEMED
TN3941346Medicaid
TN4104981OtherBLUECARE/TENNCARE/BCBSTN--GROUP
62079OtherOPTUMHEALTH VISION
TNCJ5379OtherRAILROAD MEDICARE
TN174791OtherBLUECARE/TENNCARE/BCBSTN--GROUP
TN3946891; 3946892OtherMEDICARE PIN FOR DR. STEPHEN MCKINLEY
TN3946891; 3946892OtherMEDICAID # FOR DR. STEPHEN MCKINLEY
KY77902641Medicaid
TN3941098OtherMEDICARE PIN FOR DR. ERIC TODD OVERLEY
KY7100209950Medicaid
TN3941098OtherMEDICAID # FOR DR. ERIC TODD OVERLEY
TN3941346Medicaid