| John Kenyon American Eye Institute Llc | |
|
519 State St, New Albany, IN 47150-3620 | |
| (812) 948-0616 | |
| (812) 949-3446 |
| Full Name | John Kenyon American Eye Institute Llc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 519 State St, New Albany, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447259510 | NPI | - | NPPES |
| 7100604490 | Medicaid | KY | |
| 100115930 | Medicaid | IN | |
| 000000056233 | Other | KY | ANTHEM |
| 1051941 | Medicaid | KY | |
| 2433149000 | Medicaid | KY | |
| 7100621930 | Medicaid | KY |
| Provider Name | Edward B Brockman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861490146 PECOS PAC ID: 2264326800 Enrollment ID: I20040503001145 |
| Provider Name | Asim R Piracha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497756852 PECOS PAC ID: 9739161126 Enrollment ID: I20040601000797 |
| Provider Name | Howard Steven Lazarus |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1063411635 PECOS PAC ID: 7214902477 Enrollment ID: I20040831000928 |
| Provider Name | Steven M Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093713273 PECOS PAC ID: 5496706525 Enrollment ID: I20050207000571 |
| Provider Name | Randall L Noblitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760483044 PECOS PAC ID: 6608873104 Enrollment ID: I20061201000187 |
| Provider Name | John A Millin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730182221 PECOS PAC ID: 0345298485 Enrollment ID: I20140729001494 |
| Provider Name | Jessica Sue Finch Crouch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912375098 PECOS PAC ID: 8224345699 Enrollment ID: I20150928001880 |
| Provider Name | Kaylea J. Percal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174975643 PECOS PAC ID: 9032404900 Enrollment ID: I20160927002433 |
| Provider Name | Shiraaz I Rahman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548536295 PECOS PAC ID: 9234434515 Enrollment ID: I20170720000135 |
| Provider Name | Sergei Veniaminovich Dmitruk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184158602 PECOS PAC ID: 1254730187 Enrollment ID: I20210527002856 |
| Provider Name | Savannah B Hubbard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558930107 PECOS PAC ID: 5597166645 Enrollment ID: I20210707002398 |
| Provider Name | Jillian Schnibben |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518651124 PECOS PAC ID: 0345602108 Enrollment ID: I20230823003509 |
| Provider Name | Walter Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720838873 PECOS PAC ID: 2365986759 Enrollment ID: I20240726001867 |
| Provider Name | Kaila Lepora |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669166187 PECOS PAC ID: 7618334343 Enrollment ID: I20240918002153 |
| Mailing Address | Practice Location Address |
|---|---|
| John Kenyon American Eye Institute Llc 519 State St, New Albany, IN 47150-3620 Ph: (812) 948-0616 | John Kenyon American Eye Institute Llc 519 State St, New Albany, IN 47150-3620 Ph: (812) 948-0616 |