Romina A Houston, OD | |
5023 Mud Ln Ste 110, Louisville, KY 40229-2800 | |
(502) 964-9400 | |
(502) 964-1915 |
Full Name | Romina A Houston |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 8 Years |
Location | 5023 Mud Ln Ste 110, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477006971 | NPI | - | NPPES |
2038DT | Other | KY | OPTOMETRIC LICENSE |
PENDING | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2038DT (Kentucky) | Primary |
152W00000X | Optometrist | 18003995A (Indiana) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisville Optometric Centers Iii, Psc | 8729041926 | 33 |
Provider Name | Louisville Optometric Centers Iii, Psc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134111271 PECOS PAC ID: 8729041926 Enrollment ID: O20041109000487 |
Mailing Address | Practice Location Address |
---|---|
Romina A Houston, OD 5023 Mud Ln Ste 110, Louisville, KY 40229-2800 Ph: (502) 964-9400 | Romina A Houston, OD 5023 Mud Ln Ste 110, Louisville, KY 40229-2800 Ph: (502) 964-9400 |
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