Kentucky Optical Company LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

KENTUCKY OPTICAL COMPANY LLC

Practice address

4940 Hazelwood Ave
Louisville, KY 40214-1270

Phone

(502) 367-2010

Fax

(502) 368-0231

NPI assigned

Nov 5, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sushil V Kumar, MDNPI 1134278427

Title

Owner

Phone

(502) 368-3937

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sushil V Kumar, MD

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1134278427
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381968000000",
    "number": "1003060930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 HAZELWOOD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141270",
            "telephone_number": "502-367-2010",
            "fax_number": "502-368-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 HAZELWOOD AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402141270",
            "telephone_number": "502-367-2010",
            "fax_number": "502-368-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY OPTICAL COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2013-10-17",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "SUSHIL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-368-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Louisville, KY
• Providers in Louisville, KY by specialty
• Eyewear Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.