NPI 1396765251 · live from the CMS NPI Registry
W Douglas Back, MD
Ophthalmology in Lexington, KY. National Provider Identifier 1396765251, active.
NPI record
| NPI | 1396765251 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 715 Shaker Drive, Suite 120, Lexington, KY 40504 |
| Practice phone | 859-278-8443 |
| Enumerated | July 20, 2006 |
| Last updated | May 5, 2008 |
| Sole proprietor | No |
| Other names | Wayne Back |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 21381 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.