Healthcare Provider Details

I. General information

NPI: 1639261647
Provider Name (Legal Business Name): JANET E SUMMERS O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 10/03/2025
Certification Date: 10/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

147 SYCAMORE ST
PIKEVILLE KY
41501-9118
US

IV. Provider business mailing address

147 SYCAMORE ST
PIKEVILLE KY
41501-9118
US

V. Phone/Fax

Practice location:
  • Phone: 606-218-5640
  • Fax: 606-218-5509
Mailing address:
  • Phone: 412-377-4969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2424DT
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2424TG
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number9136TG
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number9136TG
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: