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RETINA ASSOCIATES PSC NPI 1639306665


NPI Information

NPI: 1639306665
Provider Name: RETINA ASSOCIATES, PSC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1536 STORY AVE
LOUISVILLE, KY
ZIP 40206
Phone: (502) 589-1500
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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 1639306665. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1536 STORY AVE
LOUISVILLE, KY
ZIP 40206-738
Phone: (502) 589-1500
Fax: (502) 589-1556

The provider's authorized official is Mark Leon Jaggers .
The authorized official title is Employee Doctor and has the following contact phone number (502) 589-1500.

The enumeration date for this NPI number is 6/17/2009 and was last updated on 3/10/2010.


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
1207W00000XOphthalmology41088KENTUCKYYes

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
11340223MEDICARE PINKENTUCKY
20842700001MEDICARE NSCKENTUCKY

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

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