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EYE CENTERS OF LOUISVILLEPSC NPI 1659385508


NPI Information

NPI: 1659385508
Provider Name: EYE CENTERS OF LOUISVILLE,PSC

Doing Business As: BENNETT & BLOOM EYE CENTERS

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 18D2190412

Address:
1935 BLUEGRASS AVE STE 200
LOUISVILLE, KY
ZIP 40215
Phone: (502) 895-0040
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EYE CENTERS OF LOUISVILLE,PSC is an ophthalmology in Louisville, KY. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. EYE CENTERS OF LOUISVILLE,PSC NPI is 1659385508. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bennett & Bloom Eye Centers.

The provider's business location address is:

1935 BLUEGRASS AVE STE 200
LOUISVILLE, KY
ZIP 40215-181
Phone: (502) 895-0040
Fax: (502) 361-4488

The provider's authorized official is Joseph P Gira .
The authorized official title is President and has the following contact phone number (314) 909-0633.

The CLIA number assigned to this NPI record is 18D2190412 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 8/24/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristKENTUCKYNo
2207W00000XOphthalmologyKENTUCKYYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300042169MEDICAIDINDIANA
2200111610MEDICAIDINDIANA
3300042871MEDICAIDINDIANA
4300024738MEDICAIDINDIANA
57100043960MEDICAIDKENTUCKY
6300042089MEDICAIDINDIANA
7300042201MEDICAIDINDIANA
8300042127MEDICAIDINDIANA
977901882MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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