NPI 1063680304

Bluegrass Eyecare Center, PLLC

Organisation Ophthalmology Physician Lexington, KY

Practice location

Address: 715 Shaker Dr Suite 120, Lexington, KY 40504-3674
Phone: (859) 278-8443

Authorised official

Name: W Douglas Back
Title: Secretary/Member
Phone: (859) 278-8443

Registered specialties (2)

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 21381 (KY)

Other Ophthalmology providers in Kentucky →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Kentucky →

Registry record

NPI: 1063680304
Entity type: Organization
NPI issued: 20 Feb 2008
Record last updated: 8 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.