Healthcare Provider Details

I. General information

NPI: 1134081797
Provider Name (Legal Business Name): APEX VISION GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3650 BOSTON RD STE 184
LEXINGTON KY
40514-1502
US

IV. Provider business mailing address

2151 MEETING ST APT 12208
LEXINGTON KY
40509-4662
US

V. Phone/Fax

Practice location:
  • Phone: 859-296-5557
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL J KENNER
Title or Position: OWNER
Credential: OD
Phone: 734-807-1950