MEDICARE: VICTOR A NEAMTU M.D.

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	207W00000X	Ophthalmology Physician	01078210A	IN
2	207WX0107X	Retina Specialist (Ophthalmology) Physician	50062	KY
3	207W00000X	Ophthalmology Physician	50062	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508009754
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTOR A NEAMTU M.D.

Provider Business Mailing Address
First Line	:	3810 SPRINGHURST BLVD STE 100
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-6162
Country	:	US
Telephone Number	:	502-897-9881
Fax Number	:	502-897-9824

Provider Business Practice Location Address
First Line	:	3810 SPRINGHURST BLVD STE 100
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40241-6162
Country	:	US
Telephone Number	:	502-897-9881
Fax Number	:	502-897-9824

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2009
Last Update Date	:	10/22/2020

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