COMMONWEALTH EYE CLINIC INC NPI 1225107014

NPI Information

NPI: 1225107014
Provider Name: COMMONWEALTH EYE CLINIC INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2353 ALEXANDRIA DR
SUITE 325
LEXINGTON, KY
ZIP 40504
Phone: (859) 224-2655
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COMMONWEALTH EYE CLINIC INC is an ambulatory surgical clinic center in Lexington, KY. COMMONWEALTH EYE CLINIC INC NPI is 1225107014. The provider is registered as an organization entity type.

The provider's business location address is:

2353 ALEXANDRIA DR
SUITE 325
LEXINGTON, KY
ZIP 40504-264
Phone: (859) 224-2655

The provider's authorized official is Lance Ferguson .
The authorized official title is Surgical Director and has the following contact phone number (859) 224-2655.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 3/24/2020.

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
1	261QS0132X	Clinic/Center	Ophthalmologic Surgery	300137	KENTUCKY	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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
1	36001121	MEDICAID	KENTUCKY

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: 11/14/2023

NPI Synchronization or Removal

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