NPIMap

Organization Active NPI

Kentucky Institute for Eye Health & Surgery

  • Optometrist
  • London, KY
National Provider Identifier
1104459221
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Practice address
130 Thompson Poynter Rd Ste 1
London, KY 40741-7280
Phone
(606) 878-2012
Fax
(606) 862-9487
NPI assigned
Feb 17, 2020
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
Johannes C Evans, MD
Title
President
Phone
(859) 278-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

130 Thompson Poynter Rd Ste 1
London, KY 40741-7280

Mailing address

601 Perimeter Dr Ste 200
Lexington, KY 40517-4121
Phone (859) 278-9393

Other names 1

  • Kentucky Eye Institute Doing business as

National Provider Directory

National Provider Directory

Locations

130 Thompson Poynter Rd
Ste 1
London, KY 40741
Phone (606) 878-2012

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1104459221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PERIMETER DR STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174121",
            "telephone_number": "859-278-9393",
            "fax_number": "859-278-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THOMPSON POYNTER RD STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407417280",
            "telephone_number": "606-878-2012",
            "fax_number": "606-862-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-17",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-278-9393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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.