Edward Uriel Puga

Primary specialty

OpticianTaxonomy code 156FX1800X

License

268036 Issued in KY

Practice address

2350 Grey Lag Way
Lexington, KY 40509-2477

Phone

(859) 263-0905

Fax

(859) 263-0837

NPI assigned

Jun 9, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1023747466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 GREY LAG WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092477",
            "telephone_number": "859-263-0905",
            "fax_number": "859-263-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 GREY LAG WAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092477",
            "telephone_number": "859-263-0905",
            "fax_number": "859-263-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUGA",
        "first_name": "EDWARD",
        "middle_name": "URIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "KY",
            "license": "268036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Puccio Jr., PHARMD
• Matthew Puchta, DMD
• Jessica L Puckett, LPCC
• Kasey Puckett, LMFT
• Lauren Audrey Puckett, PA-C
• Priscilla Puga
• Mark Pugeda, DPT
• Linda Ann Pugh, MSW, LCSW
• Mark H Pugh, DO
• Michael N. Pugh, D.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.