KY DOCTORS OF OPTOMETRY PLLC NPI 1255415410

NPI Information

  • NPI: 1255415410
  • Provider Name: KY DOCTORS OF OPTOMETRY, PLLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Doing Business As: KY DOCTORS OF OPTOMETRY
  • Address: 2312 SIR BARTON WAY
    SUITE 170
    LEXINGTON, KY
    ZIP 40509
  • Phone: (859) 543-8383

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NPI Details

KY DOCTORS OF OPTOMETRY, PLLC is an eyewear supplier in Lexington, KY. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. KY DOCTORS OF OPTOMETRY, PLLC NPI is 1255415410. 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:

2312 SIR BARTON WAY
SUITE 170
LEXINGTON, KY
ZIP 40509-270
Phone: (859) 543-8383
Fax: (859) 264-9734

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 10/24/2006 and was last updated on 8/22/2024.

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
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17790349000MEDICAIDKENTUCKY

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: 11/21/2025

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