| Retina Associates, Psc | |
|
1536 Story Ave, The Eye Care Institute Building, Louisville, KY 40206-1738 | |
| (502) 589-1500 | |
| (502) 589-1556 |
| Full Name | Retina Associates, Psc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1536 Story Ave, 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 |
|---|---|---|---|
| 1285639666 | NPI | - | NPPES |
| 779033591 | Other | KY | GROUP OD MEDICAID NUMBER |
| 100221560A | Medicaid | IN | |
| 1121048 | Other | KY | GROUP PASSPORT NUMBER |
| 65917502 | Medicaid | KY | |
| CF7698 | Other | KY | GROUP RR MEDICARE NUMBER |
| Provider Name | Hayley Miranda Woodruff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073609111 PECOS PAC ID: 4880647932 Enrollment ID: I20050301000340 |
| Provider Name | Renee S Mcentire |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043240757 PECOS PAC ID: 1052415916 Enrollment ID: I20070402000677 |
| Provider Name | Jacob J Yunker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1033247747 PECOS PAC ID: 8921106436 Enrollment ID: I20090731000502 |
| Provider Name | Thomas W Harper |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346440583 PECOS PAC ID: 2163510587 Enrollment ID: I20090908000471 |
| Provider Name | Brennan Patrick Greene |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013003136 PECOS PAC ID: 8325044480 Enrollment ID: I20100407000637 |
| Provider Name | John C Meyer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588750681 PECOS PAC ID: 9133125297 Enrollment ID: I20100409000028 |
| Provider Name | Carol Brunner Parker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407942535 PECOS PAC ID: 8729115605 Enrollment ID: I20100424000003 |
| Provider Name | Catherine Newton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871667154 PECOS PAC ID: 0840453676 Enrollment ID: I20120515000315 |
| Provider Name | Guruprasad R Pattar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689963589 PECOS PAC ID: 4082928635 Enrollment ID: I20150908001083 |
| Provider Name | Emily M Ebelhar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598335259 PECOS PAC ID: 3870994486 Enrollment ID: I20210701003693 |
| Mailing Address | Practice Location Address |
|---|---|
| Retina Associates, Psc 1536 Story Ave, The Eye Care Institute Building, Louisville, KY 40206-1738 Ph: (502) 589-1500 | Retina Associates, Psc 1536 Story Ave, The Eye Care Institute Building, Louisville, KY 40206-1738 Ph: (502) 589-1500 |