John Kenyon American Eye Institute LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

JOHN KENYON AMERICAN EYE INSTITUTE LLC

Doing business as

Eye Surgery Center of Elizabethtown

Practice address

2000 Tunnel Hill Rd
Elizabethtown, KY 42701-8025

Phone

(270) 304-2520

Fax

(270) 304-2519

NPI assigned

Dec 10, 2020

Last updated

Mar 17, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

JOHN KENYON AMERICAN EYE INSTITUTE LLCAs reported in NPPES

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

Authorized official

Name

Joseph P. Gira, MD

Title

Owner/Manager

Phone

(270) 304-2520

Specialties & licenses 1

Addresses

Other names 1

• Eye Surgery Center of Elizabethtown Doing business as

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• John Kenyon American Eye Institute LLC

  • Ophthalmology Physician
  • New Albany, IN
  • NPI 1447259510

  5496640351

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• John Kenyon American Eye Institute, LLC

  dba Eye Surgery Center of Elizabethtown

  • Certified Registered Nurse Anesthetist
  • Elizabethtown, KY
  • NPI 1235735804

  O20210324003191

  Same enrollment

Listed as

Eye Surgery Center of ElizabethtownCCN 18C0001054

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Rod Rallo Associates3 organizations share this tax ID, including this one

Part of

Rod Rallo Associates

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• John Kenyon American Eye Institute, LLC

  dba Eye Surgery Center of Elizabethtown

  • Certified Registered Nurse Anesthetist
  • Elizabethtown, KY
  • NPI 1235735804
  NPD tax ID
• John Kenyon American Eye Institute LLC

  • Ophthalmology Physician
  • New Albany, IN
  • NPI 1447259510
  NPD tax ID

Locations

Networks

• OH PPO

Interoperability endpoints

• Direct secure messaging: juliegeoghegan@eyecarepartners.com

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angela Greenwell, RN, MSNA, CCRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1801035522
  Medicare reassignment NPD
• April Hester, CRNA

  • Certified Registered Nurse Anesthetist
  • Elizabethtown, KY
  • NPI 1619308046
  Medicare reassignment NPD
• Jennifer Lee Priest Wiseman, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1538565742
  Medicare reassignment NPD
• Angela M Conklin, CRNA

  • Certified Registered Nurse Anesthetist
  • Paoli, IN
  • NPI 1366773350

  KY

  Medicare reassignment NPD
• Janet Cartwright, CRNA

  • Certified Registered Nurse Anesthetist
  • Elizabethtown, KY
  • NPI 1881690741
  Medicare reassignment
• Kyle J Goldsmith, CRNA

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1700888344
  Medicare reassignment
• Sergei Veniaminovich Dmitruk, MD

  • Ophthalmology Physician
  • Louisville, KY
  • NPI 1184158602
  NPD
• Sofia Braunstein, OD

  • Optometrist
  • New Albany, IN
  • NPI 1144116559
  NPD
• Edward Britt Brockman I, M.D.

  • Ophthalmology Physician
  • New Albany, IN
  • NPI 1861490146
  NPD
• Jessica Sue Finch Crouch, O.D.

  • Optometrist
  • New Albany, IN
  • NPI 1912375098
  NPD
• Howard S. Lazarus, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • New Albany, IN
  • NPI 1063411635
  NPD
• Randall L Noblitt, O.D.

  • Optometrist
  • New Albany, IN
  • NPI 1760483044
  NPD

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1013513308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TUNNELL HILL ROAD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-304-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TUNNEL HILL RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018025",
            "telephone_number": "270-304-2520",
            "fax_number": "270-304-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN KENYON AMERICAN EYE INSTITUTE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN KENYON AMERICAN EYE INSTITUTE LLC",
        "enumeration_date": "2020-12-10",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "270-304-2520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliegeoghegan@eyecarepartners.com",
            "affiliation": "Y",
            "affiliationName": "John Kenyon American Eye Institute LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2000 Tunnell Hill Road",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427014270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "juliegeoghegan@eyecare-partners.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2000 Tunnell Hill Road",
            "city": "Elizabethtown",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427014270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eye Surgery Center of Elizabethtown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Surgery Center of Elizabethtown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• JG Connections Inc.
• Kimberly Merkley Jiranek, D.M.D
• Jkhall&Associates
• Cory Michael Johanboeke, PA-C
• John J Duplessis, Jr.
• John Kenyon American Eye Institute, LLC (Eye Surgery Center of Elizabethtown)
• Alexandria Johnson, CRNA
• Amanda Johnson, APRN
• Ashley M Johnson
• Cadie Johnson, APRN

• Ambulatory Surgical Clinic/Center in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.