| The Ophthalmology Group, Llc | |
|
4630 Village Square Drive, Paducah, KY 42001-7502 | |
| (270) 442-1671 | |
| (270) 442-7307 |
| Full Name | The Ophthalmology Group, Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 4630 Village Square Drive, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598717027 | NPI | - | NPPES |
| CB5783 | Other | RAILROAD MEDICARE | |
| 7100053130 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Jeffery Taylor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356318547 PECOS PAC ID: 4587691753 Enrollment ID: I20050719001025 |
| Provider Name | Carl W Baker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154398253 PECOS PAC ID: 2769514116 Enrollment ID: I20100720000814 |
| Provider Name | Landen A Meeks |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326280504 PECOS PAC ID: 2668613738 Enrollment ID: I20130801000357 |
| Provider Name | Brian R. Bodnarchuk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760825624 PECOS PAC ID: 3274772439 Enrollment ID: I20170920002230 |
| Provider Name | Daniel O'connor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184398026 PECOS PAC ID: 6608271952 Enrollment ID: I20230823000943 |
| Mailing Address | Practice Location Address |
|---|---|
| The Ophthalmology Group, Llc 4630 Village Square Drive, Paducah, KY 42001-7502 Ph: (270) 442-1671 | The Ophthalmology Group, Llc 4630 Village Square Drive, Paducah, KY 42001-7502 Ph: (270) 442-1671 |