Organization Active NPI

Amsurg Kentucky Ophthalmology LLC

Doing business as Bluegrass Surgery & Laser Center

  • Ambulatory Surgical Clinic/Center
  • Louisville, KY
National Provider Identifier
1124091699
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
300133 Issued in KY
Legal business name
AMSURG KENTUCKY OPHTHALMOLOGY LLC
Doing business as
Bluegrass Surgery & Laser Center
Practice address
1400 Poplar Level Rd
Suite 1
Louisville, KY 40217-1309
Phone
(502) 637-4800
Fax
(502) 637-1550
NPI assigned
Feb 7, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Mr. Christopher A Holden
Title
Chief Manager of LLC
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 300133 KY Primary

Addresses

Primary practice location

1400 Poplar Level Rd
Suite 1
Louisville, KY 40217-1309

Mailing address

1400 Poplar Level Rd
Suite 1
Louisville, KY 40217-1309
Phone (502) 637-4800

Other names 1

  • Bluegrass Surgery & Laser Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1124091699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 POPLAR LEVEL RD",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171309",
            "telephone_number": "502-637-4800",
            "fax_number": "502-637-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 POPLAR LEVEL RD",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171309",
            "telephone_number": "502-637-4800",
            "fax_number": "502-637-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMSURG KENTUCKY OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF MANAGER OF LLC",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "KY",
            "license": "300133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Surgery & Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.