Ky Doctors Of Optometry

LBN: Tri-State Doctors Of
Ky Doctors Of Optometry is an health care organization with primary practice located at 2608 Scottsville Road , Bowling Green KY 42104. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Tri-State Doctors Of can be contacted via phone (270) 782-2025, or through Rubesh, Grant via phone (726) 444-4078.

Contact Information

Primary practice address
2608 Scottsville Road Bowling Green KY 42104
Fax: (270) 796-2075
Website:
Authorized official contact:
Name: Rubesh, Grant Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X

Profile Details

NPI number 1306920632
LBN Legal business name Tri-State Doctors Of
DBA Doing business as Ky Doctors Of Optometry
Authorized official Rubesh, Grant Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2006
Last updated Sep 21st, 2023 - about last year

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 1306920632 NPPES
Kentucky MEDICAID 7790299700

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