502 Eye Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

502 EYE CARE LLC

Practice address

3408 Bardstown Rd
Louisville, KY 40218-4608

Phone

(502) 912-9884

NPI assigned

Apr 22, 2024

Organization subpart

No

Name

Dr. Jubin Shah, ODNPI 1841947538

Title

Optometrist

Phone

(502) 912-9884

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jubin Shah, OD

  • Optometrist
  • Louisville, KY
  • NPI 1841947538
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 22, 2024.

{
    "created_epoch": "1713744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713744000000",
    "number": "1174378145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 WYNBROOKE CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402413124",
            "telephone_number": "502-345-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 BARDSTOWN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184608",
            "telephone_number": "502-912-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "502 EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-22",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JUBIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "502-912-9884",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Louisville, KY
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; 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.