Bennett & Bloom Eye Centers | |
1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 | |
(502) 895-0040 | |
(502) 361-4488 |
Full Name | Bennett & Bloom Eye Centers |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1935 Bluegrass Ave Ste 200, Louisville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659385508 | NPI | - | NPPES |
200111610 | Medicaid | IN | |
300042169 | Medicaid | IN | |
300042127 | Medicaid | IN | |
77901882 | Medicaid | KY | |
300042089 | Medicaid | IN | |
300042871 | Medicaid | IN | |
300024738 | Medicaid | IN | |
300042201 | Medicaid | IN | |
7100043960 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Kentucky) | Secondary |
207W00000X | Ophthalmology | (Kentucky) | Primary |
Provider Name | Inder P Singal |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1922082072 PECOS PAC ID: 9830091743 Enrollment ID: I20040122000178 |
Provider Name | Bryan Matthew Blair |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1417945478 PECOS PAC ID: 8921098690 Enrollment ID: I20040514000514 |
Provider Name | Steven Mark Bloom |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1346224409 PECOS PAC ID: 0244329076 Enrollment ID: I20100924000722 |
Provider Name | Lawrence Robert Tenkman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1023207859 PECOS PAC ID: 5092830331 Enrollment ID: I20121005000709 |
Provider Name | Ian W Mcwherter |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770838732 PECOS PAC ID: 7214171073 Enrollment ID: I20130917000320 |
Provider Name | John A Millin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1730182221 PECOS PAC ID: 0345298485 Enrollment ID: I20140729001494 |
Provider Name | Nikolaos C Zagorianos |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083092126 PECOS PAC ID: 1052622958 Enrollment ID: I20150709000175 |
Provider Name | Andrew Joseph Steele |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942685169 PECOS PAC ID: 1355657974 Enrollment ID: I20150827001769 |
Provider Name | Meredith Lanham Mueller |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1699141598 PECOS PAC ID: 4183929359 Enrollment ID: I20160225001605 |
Provider Name | Janelle Marie Fassbender Adeniran |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1497017867 PECOS PAC ID: 2264749928 Enrollment ID: I20160808002648 |
Provider Name | Fraser D Mckay |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447668058 PECOS PAC ID: 6103111430 Enrollment ID: I20160916001738 |
Provider Name | Adam Mueller |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639554561 PECOS PAC ID: 5698053668 Enrollment ID: I20170324001261 |
Provider Name | Keith R Slayden |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295257707 PECOS PAC ID: 4981963808 Enrollment ID: I20180122001135 |
Provider Name | Aparna Shah |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356788426 PECOS PAC ID: 8921239351 Enrollment ID: I20180718002150 |
Provider Name | Kelley Sedlock |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740832500 PECOS PAC ID: 1456789940 Enrollment ID: I20200316002138 |
Provider Name | Anne Pearce Rowland |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1164682084 PECOS PAC ID: 2668629478 Enrollment ID: I20200625001560 |
Provider Name | Sergei Veniaminovich Dmitruk |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1184158602 PECOS PAC ID: 1254730187 Enrollment ID: I20210527002856 |
Provider Name | Paul Austin Eckel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336758127 PECOS PAC ID: 0941602510 Enrollment ID: I20210706002419 |
Provider Name | Mattie Katherine Adams |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861064958 PECOS PAC ID: 5890172308 Enrollment ID: I20220520001986 |
Provider Name | Matthew Meredith |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841811320 PECOS PAC ID: 3577929579 Enrollment ID: I20230517002107 |
Provider Name | Matthew D Wojcik |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750018461 PECOS PAC ID: 2860852431 Enrollment ID: I20230713002904 |
Provider Name | Madeline Ann Brillhart |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679212864 PECOS PAC ID: 3476914078 Enrollment ID: I20230728003045 |
Provider Name | Jeremy Caylor |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881387314 PECOS PAC ID: 8022479492 Enrollment ID: I20230801003723 |
Provider Name | Mohammad Sadiq |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1619408721 PECOS PAC ID: 7214201144 Enrollment ID: I20230816001879 |
Provider Name | Chad Herschberger |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932893567 PECOS PAC ID: 1759735368 Enrollment ID: I20231002001069 |
Mailing Address | Practice Location Address |
---|---|
Bennett & Bloom Eye Centers 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 Ph: (502) 895-0040 | Bennett & Bloom Eye Centers 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 Ph: (502) 895-0040 |