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General NPI Number Information
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NPI Number | 1093735912
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Entity Type | Organization
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Legal Business Name | KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 975 S LAUREL RD STE B
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City | LONDON
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State | KY
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Zip | 40744-7862
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Country | US
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Telephone | 606-878-2020
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Fax | 606-878-2055
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Provider Business Mailing Address
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Address Line | 1401 HARRODSBURG RD B-75
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City | LEXINGTON
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State | KY
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Zip | 40504-1724
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Country | US
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Telephone | 180-043-2927
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MR. ARIC MYERS
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Credential |
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Telephone | 859-278-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | KY1384DT
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License Number State | KY
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