NPIMap

Organization Active NPI

Retina and Vitreous Associates of Kentucky PLLC

  • Retina Specialist (Ophthalmology) Physician
  • Lexington, KY
National Provider Identifier
1619949971
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
Practice address
120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827
Phone
(859) 263-3900
Fax
(859) 263-3757
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Authorized official

Name
Joseph Pravoot Gira, MD
Title
Owner
Phone
(314) 909-0633

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X 1689DT KY
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X KY
Retina Specialist (Ophthalmology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207WX0107X Primary

Addresses

Primary practice location

120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509-1827

Mailing address

120 N Eagle Creek Dr Ste 500
Lexington, KY 40509-1827
Phone (859) 263-3900

Other practice location 1

73 Quartermaster CT
Jeffersonville, IN 47130-3623
Phone (859) 263-3900

Other practice location 2

850 Hail Knob Rd Ste A
Somerset, KY 42503-3418
Phone (859) 263-3900

Other practice location 3

120 N Eagle Creek Dr Ste 440
Lexington, KY 40509-1827
Phone (859) 263-3900

Other practice location 4

418 Whirlaway Dr
Danville, KY 40422-9037
Phone (859) 263-3900

Other practice location 5

6450 Dutchmans Pkwy
Louisville, KY 40205-3338
Phone (859) 744-0263

Other practice location 6

713 Broadway St Ste 201
Paintsville, KY 41240-1612
Phone (859) 263-3900

Other practice location 7

2935 Dolphin Dr Bldg 300
Elizabethtown, KY 42701-4111
Phone (859) 263-3900

Other practice location 8

315 Leonardwood Rd Ste 4
Frankfort, KY 40601-6532
Phone (859) 263-3900

Other practice location 9

1700 Winchester Ave
Ashland, KY 41101-7649
Phone (859) 263-3900

Other identifiers 6

IdentifierTypeStateIssuer
7100871660MedicaidKY
0730481MedicaidOH
300037863MedicaidIN
0007018000MedicaidWV
201209490AMedicaidIN
7100856500MedicaidKY

Other names 1

  • Retina Associates of Kentucky Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, WV, IN3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040128001145 KY Part B Supplier - Clinic/Group Practice 0749183648 Receives reassigned benefits from 13 practitioners
Practice locations: Ashland, KY; Somerset, KY; Paintsville, KY; Louisville, KY; Lexington, KY; Frankfort, KY; Elizabethtown, KY; Danville, KY
O20140218000035 WV Part B Supplier - Clinic/Group Practice 0749183648 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, WV
O20200421000182 IN Part B Supplier - Clinic/Group Practice 0749183648 Receives reassigned benefits from 3 practitioners
Practice locations: Jeffersonville, IN

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
18D1068560Retina and Vitreous Associates of Kentucky, PLLC120 North Eagle Creek Drive, Suite 500, Lexington, KY 40509Certificate of waiverMay 15, 2027

National Provider Directory

National Provider Directory

Locations

3544 E 10th St
Jeffersonville, IN 47130

3542 E 10th St
Jeffersonvlle, IN 47130
Phone (800) 627-2020

311 N 3rd St
Bardstown, KY 40004
Phone (502) 348-8584

418 Whirlaway Dr
Danville, KY 40422

2935 Dolphin Dr
Bldg 300
Elizabethtown, KY 42701
Phone (270) 769-0099

315 Leonardwood Rd
Ste 4
Frankfort, KY 40601

120 N Eagle Creek Dr
Ste 500
Lexington, KY 40509
Phone (859) 977-1129

1075 E 4th St
London, KY 40741

9200 Leesgate Rd
Louisville, KY 40222
Phone (502) 895-0040

6450 Dutchmans Pkwy
Louisville, KY 40205
Phone (502) 741-6095

1403 Cumberland Ave
Middlesboro, KY 40965

713 Broadway St
Ste 201
Paintsville, KY 41240
Phone (606) 789-7201

238 Geri Ln
Ste A
Richmond, KY 40475

1616 13th Ave
Huntington, WV 25701
Phone (304) 691-1247

1611 13th Ave
Huntington, WV 25701
Phone (304) 522-6500

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762819200000",
    "number": "1619949971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR STE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "address_2": "STE 500",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "73 QUARTERMASTER CT",
            "address_purpose": "LOCATION",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303623",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 Hail Knob Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Somerset",
            "state": "KY",
            "postal_code": "425033418",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 N Eagle Creek Dr Ste 440",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091827",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "418 Whirlaway Dr",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404229037",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 Dutchmans Pkwy",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402053338",
            "country_code": "US",
            "telephone_number": "859-744-0263",
            "fax_number": "859-745-0836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Broadway St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401612",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2935 Dolphin Dr Bldg 300",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427014111",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-745-0836",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "315 Leonardwood Rd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406016532",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 Winchester Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411017649",
            "country_code": "US",
            "telephone_number": "859-263-3900",
            "fax_number": "859-263-3757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-909-0633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "KY",
            "license": "1689DT",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100871660",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0730481",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300037863",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007018000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201209490A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100856500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Retina Associates of Kentucky",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.