NPI 1336196815 · live from the CMS NPI Registry
Peter Blackburn, MD
Ophthalmology, Retina Specialist in Lexington, KY. National Provider Identifier 1336196815, active.
NPI record
| NPI | 1336196815 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Retina Specialist 207WX0107X |
| Practice location | 110 Conn Ter Ste 550, Lexington, KY 40508 |
| Practice phone | 859-323-5867 |
| Enumerated | May 28, 2006 |
| Last updated | March 7, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 36686 (KY) |
| Ophthalmology, Uveitis and Ocular Inflammatory Disease | 207WX0108X | 36686 (KY) |
| Ophthalmology, Retina Specialist primary | 207WX0107X | 36686 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.