Bluegrass Retina Consultants, PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BLUEGRASS RETINA CONSULTANTS, PSC

Practice address

3290 Blazer Pkwy Ste 100
Lexington, KY 40509-2169

Phone

(859) 264-0445

Fax

(859) 264-0447

NPI assigned

Aug 18, 2006

Last updated

May 6, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelia F Thompson, MDNPI 1427162395

Title

Owner

Phone

(859) 264-0445

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: athompson@bluegrassretina.intellechartdirect.net

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angelia F Thompson, MD

  • Ophthalmology Physician
  • Lexington, KY
  • NPI 1427162395
  Medicare reassignment NPD Authorized official
• Tamela Marie Brown-Murray, O.D.

  • Optometrist
  • Somerset, KY
  • NPI 1912945759
  NPD (past)
• Kimberly Marie Hudson, O.D.

  • Optometrist
  • Walton, KY
  • NPI 1023245610
  NPD (past)
• Tyler Robert Hudson, O.D.

  • Optometrist
  • Union, KY
  • NPI 1750518346
  NPD (past)
• Joshua Eric Nichols, O.D.

  • Optometrist
  • Somerset, KY
  • NPI 1962440784
  NPD (past)
• Clarissa Nicole Burns, OD

  • Optometrist
  • Beavercreek, OH
  • NPI 1639941099
  NPD (past)
• Kimberly Mayo, OD

  • Optometrist
  • Lawrenceburg, IN
  • NPI 1265815856
  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1396859260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 BLAZER PKWY STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092169",
            "telephone_number": "859-264-0445",
            "fax_number": "859-264-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3290 BLAZER PKWY STE 100",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092169",
            "telephone_number": "859-264-0445",
            "fax_number": "859-264-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS RETINA CONSULTANTS, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-264-0445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000496249",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64341944",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bluegrass Regional Imaging LLC
• Bluegrass Regional Psychiatric Services Inc. (Eastern State Hospital)
• Bluegrass Relational Psychotherapy, LLC
• Bluegrass Renal Care, PSC
• Bluegrass Renal Care, PSC (Bluegrass Medical Alliance)
• Bluegrass Sleep Treatment, LLC
• Bluegrass Social Work Services
• Bluegrass Surgical Assistants, PSC
• Bluegrass Technology Center
• Bluegrass Technology Center

• Ophthalmology Physician in Lexington, KY
• Providers in Lexington, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.