Medical Vision Group, PSC

Primary specialty

SpecialistTaxonomy code 174400000X

License

30460 Issued in KY

Legal business name

MEDICAL VISION GROUP, PSC

Practice address

2459 Nicholasville Rd
Lexington, KY 40503-3158

Phone

(859) 278-9486

Fax

(888) 500-3329

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jitander S Dudee, M.D.

Title

Medical Director

Phone

(859) 278-9486

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Brian Leigh Keplinger, O.D.

  • Optometrist
  • Frankfort, KY
  • NPI 1245233071
  NPD (past)
• Andrea Leigh Stamm, O.D.

  • Optometrist
  • Richmond, KY
  • NPI 1598807927
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1003941923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033158",
            "telephone_number": "859-278-9486",
            "fax_number": "888-500-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2459 NICHOLASVILLE RD",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033158",
            "telephone_number": "859-278-9486",
            "fax_number": "888-500-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL VISION GROUP, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "DUDEE",
        "authorized_official_first_name": "JITANDER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "859-278-9486",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "30460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64304603",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Meckert, OTA
• Ayorinde A Medaiyese, MD
• Medcare Health LLC
• Medcare Mobile Primary Care PLLC
• Medical Heights Surgery Center, Inc.
• Medical Vision Institute, PSC
• Krutika Mediwala, PHARMD
• Charles David Medley, LCSW
• Glenn Norris Medley, R.PH.
• Kaisey Hampton Medley, PA-C

• Specialist in Lexington, KY
• Providers in Lexington, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.