Bluegrass Eyecare Center, Pllc
LBN: Bluegrass Eyecare Center, Pllc
Bluegrass Eyecare Center, Pllc is an health care organization with primary practice located at 715 Shaker Dr Suite 120, Lexington KY 40504-3674. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Bluegrass Eyecare Center, Pllc can be contacted via phone (859) 278-8443, or through Back, W Douglas via phone (859) 278-8443.
Contact Information
Primary practice address
715 Shaker Dr Suite 120
Lexington KY 40504-3674
Phone: (859) 278-8443
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 21381 | Kentucky |
Profile Details
| NPI number | 1063680304 |
|---|---|
| LBN Legal business name | Bluegrass Eyecare Center, Pllc |
| DBA Doing business as | |
| Authorized official | Back, W Douglas Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 20th, 2008 |
| Last updated | Sep 8th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063680304 | NPPES |
| Other | 00599 | MEDICARE GROUP NUMBER | |
| MEDICAID | 7100030920 | MEDICARE GROUP NUMBER |
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