| Eye Centers Of Louisville,psc | |
|
1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 | |
| (502) 895-0040 | |
| (502) 361-4488 |
| Full Name | Eye Centers Of Louisville,psc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1935 Bluegrass Ave Ste 200, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659385508 | NPI | - | NPPES |
| 200111610 | Medicaid | IN | |
| 300042169 | Medicaid | IN | |
| 300042127 | Medicaid | IN | |
| 77901882 | Medicaid | KY | |
| 300042089 | Medicaid | IN | |
| 300042871 | Medicaid | IN | |
| 300024738 | Medicaid | IN | |
| 300042201 | Medicaid | IN | |
| 7100043960 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Kentucky) | Secondary |
| 207W00000X | Ophthalmology | (Kentucky) | Primary |
| Provider Name | Inder P Singal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922082072 PECOS PAC ID: 9830091743 Enrollment ID: I20040122000178 |
| Provider Name | Bryan Matthew Blair |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417945478 PECOS PAC ID: 8921098690 Enrollment ID: I20040514000514 |
| Provider Name | Steven Mark Bloom |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346224409 PECOS PAC ID: 0244329076 Enrollment ID: I20100924000722 |
| Provider Name | Lawrence Robert Tenkman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023207859 PECOS PAC ID: 5092830331 Enrollment ID: I20121005000709 |
| Provider Name | Ian W Mcwherter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770838732 PECOS PAC ID: 7214171073 Enrollment ID: I20130917000320 |
| Provider Name | John A Millin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730182221 PECOS PAC ID: 0345298485 Enrollment ID: I20140729001494 |
| Provider Name | Nikolaos C Zagorianos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083092126 PECOS PAC ID: 1052622958 Enrollment ID: I20150709000175 |
| Provider Name | Andrew Joseph Steele |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942685169 PECOS PAC ID: 1355657974 Enrollment ID: I20150827001769 |
| Provider Name | Meredith Lanham Mueller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699141598 PECOS PAC ID: 4183929359 Enrollment ID: I20160225001605 |
| Provider Name | Janelle Marie Fassbender Adeniran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497017867 PECOS PAC ID: 2264749928 Enrollment ID: I20160808002648 |
| Provider Name | Fraser D Mckay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447668058 PECOS PAC ID: 6103111430 Enrollment ID: I20160916001738 |
| Provider Name | Adam Mueller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639554561 PECOS PAC ID: 5698053668 Enrollment ID: I20170324001261 |
| Provider Name | Keith R Slayden |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295257707 PECOS PAC ID: 4981963808 Enrollment ID: I20180122001135 |
| Provider Name | Aparna Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356788426 PECOS PAC ID: 8921239351 Enrollment ID: I20180718002150 |
| Provider Name | Kelley Cerchione |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740832500 PECOS PAC ID: 1456789940 Enrollment ID: I20200316002138 |
| Provider Name | Anne Pearce Rowland |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164682084 PECOS PAC ID: 2668629478 Enrollment ID: I20200625001560 |
| Provider Name | Sergei Veniaminovich Dmitruk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184158602 PECOS PAC ID: 1254730187 Enrollment ID: I20210527002856 |
| Provider Name | Paul Austin Eckel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336758127 PECOS PAC ID: 0941602510 Enrollment ID: I20210706002419 |
| Provider Name | Mattie Katherine Adams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861064958 PECOS PAC ID: 5890172308 Enrollment ID: I20220520001986 |
| Provider Name | Matthew Meredith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841811320 PECOS PAC ID: 3577929579 Enrollment ID: I20230517002107 |
| Provider Name | Jeremy Carson Caylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881387314 PECOS PAC ID: 8022479492 Enrollment ID: I20230801003723 |
| Provider Name | Mohammad Sadiq |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619408721 PECOS PAC ID: 7214201144 Enrollment ID: I20230816001879 |
| Provider Name | Chad A Herschberger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932893567 PECOS PAC ID: 1759735368 Enrollment ID: I20231002001069 |
| Provider Name | Addy Elizabeth Adkisson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255181582 PECOS PAC ID: 3173062403 Enrollment ID: I20240909002965 |
| Provider Name | Hailey Brooke Dunlow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245090729 PECOS PAC ID: 6406397132 Enrollment ID: I20241014000487 |
| Provider Name | William Tyler Gibson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679190060 PECOS PAC ID: 7618374257 Enrollment ID: I20250403002092 |
| Provider Name | Alexandra Leigh Pasley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902526098 PECOS PAC ID: 7315315710 Enrollment ID: I20250610003125 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Centers Of Louisville,psc 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 Ph: (502) 895-0040 | Eye Centers Of Louisville,psc 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 Ph: (502) 895-0040 |