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Amsurg Kentucky Ophthalmology LLC

Organization Active NPI Ambulatory Surgical Clinic/Center · Louisville, KY

NPI 1124091699 · NPPES record last updated Jun 17, 2008

Key facts

NPI
1124091699
Entity type
Organization (NPI type 2)
Primary specialty
Ambulatory Surgical Clinic/Center 261QA1903X
License
300133 (KY)
Legal business name
AMSURG KENTUCKY OPHTHALMOLOGY LLC
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
Organization subpart
No

Authorized official

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

National Provider Directory

Locations

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
611212775-004OtherKYHUMANA MILITARY, INC.
3600107100MedicaidKY

Other names

  • Bluegrass Surgery & Laser Center Doing business as

Other providers in Louisville, KY

All providers in Louisville, KY · Ambulatory Surgical Clinic/Center in Kentucky

Sources for this page

Verify at the official NPI Registry.