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General NPI Number Information
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NPI Number | 1659385508
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Entity Type | Organization
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Legal Business Name | EYE CENTERS OF LOUISVILLE,PSC
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 1935 BLUEGRASS AVE STE 200
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City | LOUISVILLE
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State | KY
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Zip | 40215-1181
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Country | US
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Telephone | 502-895-0040
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Fax | 502-361-4488
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Provider Business Mailing Address
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Address Line | PO BOX 736502
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City | CHICAGO
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State | IL
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Zip | 60673-6502
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Country | US
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Telephone | 502-895-0040
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Fax | 502-361-4488
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH P GIRA
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Credential | M.D.
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Telephone | 314-909-0633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State | KY
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