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NPI Code Detail

MEDICARE: EYE SPECIALISTS OF LOUISVILLE, P.S.C.

MEDICARE: EYE SPECIALISTS OF LOUISVILLE, P.S.C.
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
1152W00000XOptometrist
2332H00000XEyewear Supplier
3207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11070812OTHERKYPASSPORT HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417014705
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE SPECIALISTS OF LOUISVILLE, P.S.C.
Provider Business Mailing Address
First Line : 301 E MUHAMMAD ALI BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1511
Country : US
Telephone Number : 502-852-2889
Fax Number : 502-852-4947
Provider Business Practice Location Address
First Line : 301 E MUHAMMAD ALI BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1511
Country : US
Telephone Number : 502-852-5466
Fax Number : 502-852-4947
Authorized Official
Title or Position : PRESIDENT
Name : DR. HENRY J KAPLAN
Credential : M.D.
Telephone Number : 502-852-5466
Provider Enumeration Date : 01/03/2007
Last Update Date : 06/22/2011

Similar Medicare Providers

1730145657 — DR. CHARLES O BRUCE III MD
Practice Location Address:
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY
40202-1511
Practice Phone: 502-588-0550
Practice Fax:
1700817905 — DR. JUDITH MOHAY AMBRUS M.D.
Practice Location Address:
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY
40202-1511
Practice Phone: 502-852-5466
Practice Fax: 502-852-4947
1770518409 — DR. CHARLES C BARR M.D.
Practice Location Address:
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY
40202-1511
Practice Phone: 502-852-5466
Practice Fax: 502-852-4947
1598855587 — EYE SPECIALISTS OF LOUISVILLE, PSC
Practice Location Address:
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY
40202-1511
Practice Phone: 502-852-5466
Practice Fax: 502-852-8550
1427102086 — DR. JOHN WORTH GAMEL M. D.
Practice Location Address:
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY
40202-1511
Practice Phone: 502-852-5466
Practice Fax:
1508065020 — DR. GUADALUPE ANGELICA MEJIA JR. O.D.
Practice Location Address:
301 E MUHAMMAD ALI BLVD
LOUISVILLE, KY
40202-1511
Practice Phone: 502-852-5466
Practice Fax: 502-852-4947

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