NPI 1073799268 · live from the CMS NPI Registry
Bluegrass Eye Surgery Psc
Ophthalmology in Lebanon, KY. National Provider Identifier 1073799268, active.
NPI record
| NPI | 1073799268 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 325 W Walnut St, Suite 400, Lebanon, KY 40033 |
| Practice phone | 270-692-0047 |
| Enumerated | January 17, 2008 |
| Last updated | November 2, 2010 |
| Authorized official | Gary Wortz, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 40650 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.