| |
2353 Alexandria Dr, Suite 260, Lexington, KY 40504-3264 | |
(859) 224-2655 | |
(859) 223-7147 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2353 Alexandria Dr, Lexington, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295817682 | NPI | - | NPPES |
65923195 | Medicaid | KY | |
77902245 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Kentucky) | Secondary |
207W00000X | Ophthalmology | (Kentucky) | Primary |
Provider Name | Asim R Piracha |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1497756852 PECOS PAC ID: 9739161126 Enrollment ID: I20040601000797 |
Provider Name | Lance Long |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265424303 PECOS PAC ID: 9032172887 Enrollment ID: I20041111000735 |
Provider Name | Gary N Wortz |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710055041 PECOS PAC ID: 9436222452 Enrollment ID: I20080723000591 |
Provider Name | Lance S Ferguson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1265403810 PECOS PAC ID: 6901887868 Enrollment ID: I20100220000092 |
Provider Name | Robert Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295754059 PECOS PAC ID: 1153458674 Enrollment ID: I20100414000839 |
Provider Name | Howell Madison Findley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619993961 PECOS PAC ID: 7719015361 Enrollment ID: I20100503000491 |
Provider Name | Tania Patel |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962855437 PECOS PAC ID: 8921384710 Enrollment ID: I20170410001616 |
Mailing Address | Practice Location Address |
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2353 Alexandria Dr, Suite 350, Lexington, KY 40504-3264 Ph: (859) 224-2655 | 2353 Alexandria Dr, Suite 260, Lexington, KY 40504-3264 Ph: (859) 224-2655 |