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TRI-STATE DOCTORS OF NPI 1689757460


NPI Information

NPI: 1689757460
Provider Name: TRI-STATE DOCTORS OF

Doing Business As: KY DOCTORS OF OPTOMETRY

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
100 W MARKET ST
LOUISVILLE, KY
ZIP 40202
Phone: (502) 587-8488
Get Directions

TRI-STATE DOCTORS OF is an eyewear supplier in Louisville, KY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TRI-STATE DOCTORS OF NPI is 1689757460. The provider is registered as an organization entity type.
The provider Is Doing Business As Ky Doctors Of Optometry.

The provider's business location address is:

100 W MARKET ST
LOUISVILLE, KY
ZIP 40202-332
Phone: (502) 587-8488
Fax: (502) 584-9036

The provider's authorized official is Grant Rubesh .
The authorized official title is Owner and has the following contact phone number (726) 444-4078.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 9/21/2023.


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
1332H00000XEyewear SupplierYes

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
17790291400MEDICAIDKENTUCKY

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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