MEDICAL VISION GROUP PSC NPI 1003941923

NPI Information

  • NPI: 1003941923
  • Provider Name: MEDICAL VISION GROUP, PSC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 2459 NICHOLASVILLE RD
    LEXINGTON, KY
    ZIP 40503
  • Phone: (859) 278-9486

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NPI Details

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 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist30460KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11579401MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
264304603MEDICAIDKENTUCKY
3F80715MEDICARE UPINKENTUCKY

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: 3/30/2025

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