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NPI 1245763747 · live from the CMS NPI Registry

Ana Bastos De Carvalho

Ophthalmology, Retina Specialist in Lexington, KY. National Provider Identifier 1245763747, active.

NPI record

NPI1245763747 Type 1 · individual
StatusActive
Primary specialtyOphthalmology, Retina Specialist 207WX0107X
Practice location110 Conn Ter Ste 550, Lexington, KY 40508
Practice phone859-323-5868
EnumeratedApril 11, 2017
Last updatedOctober 1, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Ophthalmology207W00000XFL050 (KY)
Ophthalmology, Retina Specialist207WX0107XFL050 (KY)
Ophthalmology, Retina Specialist primary207WX0107X53156 (KY)

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