NPI 1073748158 · live from the CMS NPI Registry
James Jerome Gullett, M.D.
Ophthalmology in Georgetown, KY. National Provider Identifier 1073748158, active.
NPI record
| NPI | 1073748158 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 103 S Bradford Ln, #102, Georgetown, KY 40324 |
| Practice phone | 502-863-3112 |
| Mailing address | 818 Montclair Dr, Lexington, KY 40502 |
| Enumerated | May 19, 2009 |
| Last updated | August 23, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 45851 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.