| |
1401 Harrodsburg Rd Ste B290, Lexington, KY 40504-1730 | |
(859) 277-2692 | |
(859) 277-9275 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1401 Harrodsburg Rd Ste B290, 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 |
---|---|---|---|
1487397378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Provider Name | Kyle M Ferguson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1437554102 PECOS PAC ID: 8022351360 Enrollment ID: I20190529003268 |
Provider Name | Emily Ann Allen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1851087704 PECOS PAC ID: 1153867114 Enrollment ID: I20240725003954 |
Mailing Address | Practice Location Address |
---|---|
1401 Harrodsburg Rd Ste B290, Lexington, KY 40504-1730 Ph: (859) 277-2692 | 1401 Harrodsburg Rd Ste B290, Lexington, KY 40504-1730 Ph: (859) 277-2692 |