Kentucky Eye Care Psc | |
6400 Dutchmans Pkwy, Ste 125, Louisville, KY 40205-3340 | |
(502) 896-8700 | |
(502) 896-0813 |
Full Name | Kentucky Eye Care Psc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 6400 Dutchmans Pkwy, 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 |
---|---|---|---|
1588748784 | NPI | - | NPPES |
65918864 | Medicaid | KY | |
CI0134 | Other | KY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Julie Hogan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356343990 PECOS PAC ID: 2769374685 Enrollment ID: I20040326000092 |
Provider Name | Maleah E Stroud |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801803994 PECOS PAC ID: 0446264907 Enrollment ID: I20060203000468 |
Provider Name | Casey H Johnson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982710752 PECOS PAC ID: 3173524071 Enrollment ID: I20070119000222 |
Provider Name | Jeffrey L Partain |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316084403 PECOS PAC ID: 0042311169 Enrollment ID: I20070719000469 |
Provider Name | Heather L Harmon |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1801880513 PECOS PAC ID: 0244373504 Enrollment ID: I20100209000194 |
Provider Name | Susan M Berberich |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1891789749 PECOS PAC ID: 9032110119 Enrollment ID: I20100324001038 |
Provider Name | James D Hurt |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194727743 PECOS PAC ID: 8123150406 Enrollment ID: I20100722000199 |
Provider Name | Lloyd R Taustine |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437151099 PECOS PAC ID: 8729979174 Enrollment ID: I20100901000005 |
Provider Name | Joshua D Justice |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710185277 PECOS PAC ID: 2860664422 Enrollment ID: I20111004000691 |
Provider Name | Julie Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457343550 PECOS PAC ID: 8123285814 Enrollment ID: I20120208000395 |
Provider Name | Mark A Ihnen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770809212 PECOS PAC ID: 1557588118 Enrollment ID: I20140806000652 |
Provider Name | Nandini Menon |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1225269350 PECOS PAC ID: 0840336889 Enrollment ID: I20180612000987 |
Provider Name | Emily S Whitlow |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518529346 PECOS PAC ID: 8325377377 Enrollment ID: I20190917001492 |
Provider Name | Sanket S Shah |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396137865 PECOS PAC ID: 3779902648 Enrollment ID: I20220815002468 |
Mailing Address | Practice Location Address |
---|---|
Kentucky Eye Care Psc 6400 Dutchmans Pkwy, Ste 125, Louisville, KY 40205-3340 Ph: (502) 896-8700 | Kentucky Eye Care Psc 6400 Dutchmans Pkwy, Ste 125, Louisville, KY 40205-3340 Ph: (502) 896-8700 |