OrganizationActive
Four Rivers Vision Therapy, PLLC
NPI 1508255464 · Optometrist · Paducah, KY
Four Rivers Vision Therapy, PLLC is a Optometrist organization in Paducah, KY (NPI 1508255464).
Provider details
- NPI number
- 1508255464
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Canaan Montgomery, Owner(270) 558-4741
- License
- 1958DT (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4570 Pecan Dr
Suite C
Paducah, KY 42001-6717
Phone: (270) 558-4741
Fax: (270) 558-4742
Street-level locationGet directions
Mailing address
4570 Pecan Dr
Paducah, KY 42001-6717
Registry dates
- Enumerated
- 2015-01-15
- Last updated
- 2015-01-15
Frequently asked questions
- What is Four Rivers Vision Therapy, PLLC's NPI number?
- Four Rivers Vision Therapy, PLLC's National Provider Identifier (NPI) is 1508255464, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Four Rivers Vision Therapy, PLLC?
- Four Rivers Vision Therapy, PLLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Four Rivers Vision Therapy, PLLC located?
- Four Rivers Vision Therapy, PLLC's practice location on file with NPPES is 4570 Pecan Dr, Paducah, KY 42001-6717.
- What is Four Rivers Vision Therapy, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Four Rivers Vision Therapy, PLLC is (270) 558-4741.
- Who is the authorized official for Four Rivers Vision Therapy, PLLC?
- The authorized official listed on Four Rivers Vision Therapy, PLLC's NPPES record is Canaan Montgomery, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Four Rivers Vision Therapy, PLLC's NPI active?
- Yes — Four Rivers Vision Therapy, PLLC's NPI (1508255464) is active in the NPPES registry as of the last update on 2015-01-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.