Wellformed AI

NPI 1184679094 · live from the CMS NPI Registry

Bluegrass Eyecare Associates Psc

Ophthalmology in Lexington, KY. National Provider Identifier 1184679094, active.

NPI record

NPI1184679094 Type 2 · organization
StatusActive
Primary specialtyOphthalmology 207W00000X
Practice location715 Shaker Drive, Suite 120, Lexington, KY 40504
Practice phone859-278-8443
EnumeratedMay 23, 2006
Last updatedNovember 20, 2007
Authorized officialCharles Bowers, President

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology primary207W00000X20668 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.