NPI 1063680304 · live from the CMS NPI Registry
Bluegrass Eyecare Center, PLLC
Ophthalmology in Lexington, KY. National Provider Identifier 1063680304, active.
NPI record
| NPI | 1063680304 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 715 Shaker Dr, Suite 120, Lexington, KY 40504 |
| Practice phone | 859-278-8443 |
| Enumerated | February 20, 2008 |
| Last updated | September 8, 2008 |
| Authorized official | W Douglas Back, Secretary/Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | 21381 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.