John Kenyon American Eye Institute LLC
Organization Active NPI Ambulatory Surgical Clinic/Center · Elizabethtown, KY
NPI 1013513308 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1013513308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Surgical Clinic/Center 261QA1903X
- Legal business name
- JOHN KENYON AMERICAN EYE INSTITUTE LLC
- Practice address
- 2000 Tunnel Hill Rd
Elizabethtown, KY 42701-8025 - Phone
- (270) 304-2520
- Fax
- (270) 304-2519
- NPI assigned
- Dec 10, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- JOHN KENYON AMERICAN EYE INSTITUTE LLC
Authorized official
- Name
- Joseph P. Gira, MD
- Title
- Owner/Manager
- Phone
- (270) 304-2520
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 2
Practitioners 25
-
Angela Greenwell, RN, MSNA, CCRN, CRNA
-
April Hester, CRNA
-
Angela M Conklin, CRNA
-
Edward Britt Brockman I, M.D.
-
Jessica Sue Finch Crouch, O.D.
-
Howard S. Lazarus, M.D.
-
Randall L Noblitt, O.D.
-
Kaylea J. Percal, OD
-
Janet Cartwright, CRNA
-
Kyle J Goldsmith, CRNA
-
Sofia Braunstein, OD
-
Rosemary Emmick, OPTOMETRIST
-
Terry L Goodman, OD
-
Gary V Hathcoat, OD
-
Vaughn G Sanders, O.D.
-
Vonda Lee Heverly, O.D.
-
Joe W Morgan, D.O.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Eye Surgery Center of Elizabethtown
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210324003191 | KY | Part B Supplier - Ambulatory Surgical Center | 5496640351 |
Receives reassigned benefits from 6 practitioners 1 other NPI on this enrollment Practice locations: Elizabethtown, KY |
National Provider Directory
- Tax ID family
- American Eye Institute PC
- Part of
- American Eye Institute PC
Locations
1305 Wall St
Ste 200
Jeffersonvlle, IN 47130
Phone (812) 288-9011
1220 Ashley Cir
#B
Bowling Green, KY 42104
Phone (270) 846-0086
705 N Race St
Glasgow, KY 42141
Phone (270) 629-6060
1115 Old Highway 60
Hardinsburg, KY 40143
Phone (270) 756-6202
2028 S Highway 53
Lagrange, KY 40031
Phone (502) 225-0301
6440 Dutchmans Pkwy
Louisville, KY 40205
Phone (502) 896-2606
2046 S Hurstbourne Pkwy
Louisville, KY 40220
Phone (502) 491-2232
545 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
9200 Leesgate Rd
Ste 201
Louisville, KY 40222
Phone (502) 895-2910
4040 Dutchmans Ln
#B
Louisville, KY 40207
Phone (502) 895-2910
12605 Shelbyville Rd
#A
Middletown, KY 40243
Phone (502) 254-1100
Networks
- OH PPO
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Yes |
Addresses
Primary practice location
2000 Tunnel Hill Rd
Elizabethtown, KY 42701-8025
Mailing address
2000 Tunnell Hill Road
Elizabethtown, KY 42701
Phone (270) 304-2520
Other names
- Eye Surgery Center of Elizabethtown
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | juliegeoghegan@eyecarepartners.com | Direct | John Kenyon American Eye Institute LLC |
| Direct Messaging Address | juliegeoghegan@eyecare-partners.com | Direct |
Other providers in Elizabethtown, KY
- JG Connections Inc.
- Kimberly Merkley Jiranek
- Jkhall&Associates
- Cory Michael Johanboeke
- John J Duplessis, Jr.
- John Kenyon American Eye Institute, LLC
- Alexandria Johnson
- Amanda Johnson
- Ashley M Johnson
- Cadie Johnson
All providers in Elizabethtown, KY · Ambulatory Surgical Clinic/Center in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.