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:
Map and Directions
Authorized official contact:
Name: Back, W Douglas Doctor of Medicine (MD)
Phone: (859) 278-8443

Health care specialties

SpecialtyCodeLicense #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 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063680304 NPPES
Other 00599 MEDICARE GROUP NUMBER
MEDICAID 7100030920 MEDICARE GROUP NUMBER

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