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EYE CENTERS OF LOUISVILLEP.S.C. NPI 1396763074


NPI Information

NPI: 1396763074
Provider Name: EYE CENTERS OF LOUISVILLE,P.S.C.

Doing Business As: BLUEGRASS SURGERY & LASER CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1400 POPLAR LEVEL RD
LOUISVILLE, KY
ZIP 40217
Phone: (502) 214-3390
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EYE CENTERS OF LOUISVILLE,P.S.C. is an ambulatory surgical clinic center in Louisville, KY. EYE CENTERS OF LOUISVILLE,P.S.C. NPI is 1396763074. The provider is registered as an organization entity type.
The provider Is Doing Business As Bluegrass Surgery & Laser Center.

The provider's business location address is:

1400 POPLAR LEVEL RD
LOUISVILLE, KY
ZIP 40217-309
Phone: (502) 214-3390
Fax: (502) 637-1550

The provider's authorized official is Donald W Bennett .
The authorized official title is C.e.o. and has the following contact phone number (502) 214-3381.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical300133KENTUCKYYes

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
1000000187473OTHERKENTUCKYANTHEM
250002574MEDICAIDKENTUCKY
336001071MEDICAIDKENTUCKY

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.