NPI 1215691308

Louisville Retina PLLC

Organisation Ophthalmology Physician Louisville, KY

Practice location

Address: 1169 Eastern Pkwy STE 3323, Louisville, KY 40217-1415
Phone: (718) 300-1540

Authorised official

Name: Anupa Mandava
Title: MD
Phone: (718) 300-1540

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X

Other Ophthalmology providers in Kentucky →

Registry record

NPI: 1215691308
Entity type: Organization
NPI issued: 26 Oct 2021
Record last updated: 3 Feb 2022

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.