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NPI Code Detail

MEDICARE: EYE SPECIALISTS OF LOUISVILLE, PSC

MEDICARE: EYE SPECIALISTS OF LOUISVILLE, PSC
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
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1598855587
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE SPECIALISTS OF LOUISVILLE, PSC
Provider Business Mailing Address
First Line : 301 E MUHAMMAD ALI BLVD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40202-1511
Country : US
Telephone Number : 502-852-5466
Fax Number : 502-852-8550
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 : 502-852-8550
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. HARRY SCHULMAN
Credential :
Telephone Number : 502-852-5455
Provider Enumeration Date : 10/13/2006
Last Update Date : 01/24/2011

Similar Medicare Providers

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Practice Location Address:
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Practice Fax:
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1770518409 — DR. CHARLES C BARR M.D.
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1417014705 — EYE SPECIALISTS OF LOUISVILLE, P.S.C.
Practice Location Address:
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1427102086 — DR. JOHN WORTH GAMEL M. D.
Practice Location Address:
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Practice Fax:
1508065020 — DR. GUADALUPE ANGELICA MEJIA JR. O.D.
Practice Location Address:
301 E MUHAMMAD ALI BLVD
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40202-1511
Practice Phone: 502-852-5466
Practice Fax: 502-852-4947

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