Organization Active NPI

The Ophthalmology Group, LLC

  • Ophthalmology Physician
  • Paducah, KY
National Provider Identifier
1194777284
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE OPHTHALMOLOGY GROUP, LLC
Practice address
4630 Village Square Drive
Paducah, KY 42001-7502
Phone
(270) 442-1671
Fax
(270) 442-7307
NPI assigned
May 17, 2006
Organization subpart
Yes
Parent organization
THE OPHTHALMOLOGY GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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

Authorized official

Name
Joseph P Gira, MD
Title
President of Ophthalmology
Phone
(270) 442-7307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X KY Primary

Addresses

Primary practice location

4630 Village Square Drive
Paducah, KY 42001-7502

Mailing address

4630 Village Square Drive
Paducah, KY 42001-7502
Phone (270) 442-1671

Other identifiers 1

IdentifierTypeStateIssuer
CB5783OtherRAILROAD MEDICARE

Other names 1

  • Paducah Retinal Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1068675Paducah Retinal Center4630 Village Square Drive, Paducah, KY 42001Certificate of waiverMay 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
The Ophthalmology Group LLC3 organizations share this tax ID, including this one
Part of
The Ophthalmology Group LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542758400000",
    "number": "1194777284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 VILLAGE SQUARE DRIVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017502",
            "telephone_number": "270-442-1671",
            "fax_number": "270-442-7307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 VILLAGE SQUARE DRIVE",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017502",
            "telephone_number": "270-442-1671",
            "fax_number": "270-442-7307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPHTHALMOLOGY GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE OPHTHALMOLOGY GROUP, LLC",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-11-21",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT OF OPHTHALMOLOGY",
        "authorized_official_telephone_number": "270-442-7307",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB5783",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paducah Retinal Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Paducah Retinal Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.