Retina Associates Of Kentucky

LBN: Retina And Vitreous Associates Of Kentucky Pllc
Retina Associates Of Kentucky is an health care organization with primary practice located at 120 N Eagle Creek Dr Ste 500, Lexington KY 40509-1827. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty. Retina And Vitreous Associates Of Kentucky Pllc can be contacted via phone (859) 263-3900, or through Gira, Joseph Pravoot via phone (314) 909-0633.

Contact Information

Primary practice address
120 N Eagle Creek Dr Ste 500 Lexington KY 40509-1827
Phone: (859) 263-3900
Fax: (859) 263-3757
Website:
Map and Directions
Authorized official contact:
Name: Gira, Joseph Pravoot Doctor of Medicine (MD)
Phone: (314) 909-0633

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X 1689DT Kentucky
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X Kentucky
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X

Profile Details

NPI number 1619949971
LBN Legal business name Retina And Vitreous Associates Of Kentucky Pllc
DBA Doing business as Retina Associates Of Kentucky
Authorized official Gira, Joseph Pravoot Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2006
Last updated Oct 11th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619949971 NPPES
Kentucky MEDICAID 7100871660
Kentucky MEDICAID 0730481
Kentucky MEDICAID 7100856500
Kentucky MEDICAID 0007018000
Kentucky MEDICAID 201209490A

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