| Retina And Vitreous Associates Of Kentucky Pllc | |
|
120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509-1827 | |
| (859) 263-3900 | |
| (859) 263-3757 |
| Full Name | Retina And Vitreous Associates Of Kentucky Pllc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology - Retina Specialist |
| Location | 120 N Eagle Creek Dr, Lexington, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619949971 | NPI | - | NPPES |
| 7100856500 | Medicaid | KY | |
| 7100871660 | Medicaid | KY | |
| 0730481 | Medicaid | OH | |
| 201209490A | Medicaid | IN | |
| 0007018000 | Medicaid | WV |
| Provider Name | John W Kitchens |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1972503993 PECOS PAC ID: 8527966977 Enrollment ID: I20050404000509 |
| Provider Name | Jack L Hollins |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679570675 PECOS PAC ID: 4789611765 Enrollment ID: I20050721000132 |
| Provider Name | Todd J Purkiss |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942347703 PECOS PAC ID: 9638241128 Enrollment ID: I20090821000093 |
| Provider Name | Ricky Don Isernhagen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1700881919 PECOS PAC ID: 9436342953 Enrollment ID: I20101015001310 |
| Provider Name | Thomas Stone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1528064219 PECOS PAC ID: 1052591567 Enrollment ID: I20110215000636 |
| Provider Name | Belinda L Shirkey |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275574287 PECOS PAC ID: 7012925985 Enrollment ID: I20150424000686 |
| Provider Name | Blake A Isernhagen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336469444 PECOS PAC ID: 4082831797 Enrollment ID: I20160920000807 |
| Provider Name | Miguel Antonio Busquets |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427054808 PECOS PAC ID: 1658476395 Enrollment ID: I20191212003067 |
| Provider Name | Aaron M. Ricca |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1801274295 PECOS PAC ID: 3678885449 Enrollment ID: I20210326001584 |
| Provider Name | Sara Elizabeth Lemay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851689699 PECOS PAC ID: 2264748730 Enrollment ID: I20220603001292 |
| Provider Name | Angela Kim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1437654159 PECOS PAC ID: 2860720125 Enrollment ID: I20220630000970 |
| Provider Name | Fareed Ared Rifai |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1053873745 PECOS PAC ID: 6709242548 Enrollment ID: I20230519001887 |
| Provider Name | Aleksandr Kruglov |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1275039638 PECOS PAC ID: 9133476716 Enrollment ID: I20230523000511 |
| Provider Name | Mohammad Sadiq |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619408721 PECOS PAC ID: 7214201144 Enrollment ID: I20230816001879 |
| Provider Name | Paras Vora |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1336778570 PECOS PAC ID: 3173999042 Enrollment ID: I20240821001782 |
| Provider Name | Matthew Pfannenstiel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1144807314 PECOS PAC ID: 2365845997 Enrollment ID: I20250422000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Retina And Vitreous Associates Of Kentucky Pllc 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509-1827 Ph: (859) 263-3900 | Retina And Vitreous Associates Of Kentucky Pllc 120 N Eagle Creek Dr, Ste 500, Lexington, KY 40509-1827 Ph: (859) 263-3900 |