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RETINA ASSOCIATES PSC NPI 1285639666


NPI Information

NPI: 1285639666
Provider Name: RETINA ASSOCIATES, PSC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1536 STORY AVE
THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY
ZIP 40206
Phone: (502) 589-1500
Get Directions

RETINA ASSOCIATES, 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. RETINA ASSOCIATES, PSC NPI is 1285639666. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1536 STORY AVE
THE EYE CARE INSTITUTE BUILDING
LOUISVILLE, KY
ZIP 40206-738
Phone: (502) 589-1500
Fax: (502) 589-1556

The provider's authorized official is Mark M Prussian .
The authorized official title is Administrator and has the following contact phone number (502) 589-1500.

The enumeration date for this NPI number is 6/14/2005 and was last updated on 10/15/2018.


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
1207W00000XOphthalmology28804KENTUCKYNo
2207W00000XOphthalmology28590KENTUCKYNo
3207W00000XOphthalmology01043769INDIANANo
4207W00000XOphthalmology01043733INDIANANo
5207W00000XOphthalmology01040010INDIANANo
6152W00000XOptometrist1136DTKENTUCKYNo
7152W00000XOptometrist1614DTKENTUCKYNo
8152W00000XOptometrist1613DTKENTUCKYNo
9207W00000XOphthalmology31573KENTUCKYYes

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
165917502MEDICAIDKENTUCKY
2100221560AMEDICAIDINDIANA
3779033591OTHERKENTUCKYGROUP OD MEDICAID NUMBER
4CF7698OTHERKENTUCKYGROUP RR MEDICARE NUMBER
51121048OTHERKENTUCKYGROUP PASSPORT NUMBER

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.