NPI 1780047456 · live from the CMS NPI Registry
Distler, Huntington & Blair Psc
Ophthalmology in Louisville, KY. National Provider Identifier 1780047456, active.
NPI record
| NPI | 1780047456 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 4402 Churchman Ave, Ste 306, Louisville, KY 40215 |
| Practice phone | 502-367-6137 |
| Mailing address | 6400 Westwind Way, Crestwood, KY 40014 |
| Enumerated | March 31, 2016 |
| Last updated | March 31, 2016 |
| Authorized official | Jennifer Butts, Billing Manager |
| Other names | Bluegrass Eye Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | 1994DT (KY) |
| Ophthalmology | 207W00000X | 24245 (KY) |
| Ophthalmology primary | 207W00000X | 35792 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.