NPIMap

Organization Active NPI

Kentucky Institute for Eye Health & Surgery

Doing business as Kentucky Eye Institute

  • Optometrist
  • London, KY
National Provider Identifier
1093735912
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
KY1384DT Issued in KY
Legal business name
KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Doing business as
Kentucky Eye Institute
Practice address
975 S Laurel Rd Ste B
London, KY 40744-7862
Phone
(606) 878-2020
Fax
(606) 878-2055
NPI assigned
Jul 21, 2006
Last updated
May 19, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Mr. Aric Myers
Title
Chief Operations Officer
Phone
(859) 278-9393

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X KY1384DT KY Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

975 S Laurel Rd Ste B
London, KY 40744-7862

Mailing address

1401 Harrodsburg Rd
B-75
Lexington, KY 40504-1724
Phone (180) 043-2927

Other identifiers 1

IdentifierTypeStateIssuer
77013845MedicaidKY

Other names 1

  • Kentucky Eye Institute Doing business as

National Provider Directory

National Provider Directory

Locations

975 S Laurel Rd
Ste B
London, KY 40744
Phone (606) 878-2020

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1093735912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 HARRODSBURG RD",
            "address_2": "B-75",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405041724",
            "telephone_number": "180-043-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S LAUREL RD STE B",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407447862",
            "telephone_number": "606-878-2020",
            "fax_number": "606-878-2055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ARIC",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "859-278-9393",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "KY1384DT",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77013845",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kentucky Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kentucky Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in London, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.