MEDICAL VISION GROUP PSC NPI 1003941923

NPI Information

MEDICAL VISION GROUP, PSC is a specialist in Lexington, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEDICAL VISION GROUP, PSC NPI is 1003941923. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2459 NICHOLASVILLE RD
LEXINGTON, KY
ZIP 40503-158
Phone: (859) 278-9486
Fax: (888) 500-3329

The provider's authorized official is Jitander S Dudee .
The authorized official title is Medical Director and has the following contact phone number (859) 278-9486.

The CLIA number assigned to this NPI record is 18D2059846 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/22/2007 and was last updated on 3/23/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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