MEDICARE: EYES ON LEX

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1881324937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYES ON LEX

Provider Business Mailing Address
First Line	:	2465 NICHOLASVILLE RD STE B
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3111
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2465 NICHOLASVILLE RD STE B
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40503-3111
Country	:	US
Telephone Number	:	859-278-7462
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPTOMETRIST
Name	:	DR. REGINA CALLIHAN
Credential	:	OD
Telephone Number	:	859-278-7462

Provider Enumeration Date	:	06/13/2022
Last Update Date	:	06/13/2022

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Directions to “EYES ON LEX ” Practice Location

Language	Start Address	Practice Location

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