Organization Active NPI

Kentucky Pediatric Ophthalmology and Strabismus, PLLC

  • Ophthalmology Physician
  • Louisville, KY
National Provider Identifier
1801096136
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KENTUCKY PEDIATRIC OPHTHALMOLOGY AND STRABISMUS, PLLC
Practice address
1102 Lyndon LN
Suite a
Louisville, KY 40222-4318
Phone
(502) 426-0307
Fax
(502) 426-3920
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Steven M. Howell, M.D.
Title
Owner
Phone
(502) 426-0307

Specialties & licenses 1

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

Addresses

Primary practice location

1102 Lyndon LN
Suite a
Louisville, KY 40222-4318

Mailing address

1102 Lyndon LN
Suite a
Louisville, KY 40222-4318
Phone (502) 426-0307

Other identifiers 1

IdentifierTypeStateIssuer
7100011510MedicaidKY

National Provider Directory

National Provider Directory

Locations

302 W 14th St
Jeffersonvlle, IN 47130
Phone (502) 426-0307

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1801096136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 LYNDON LN",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224318",
            "telephone_number": "502-426-0307",
            "fax_number": "502-426-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 LYNDON LN",
            "address_2": "SUITE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402224318",
            "telephone_number": "502-426-0307",
            "fax_number": "502-426-3920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY PEDIATRIC OPHTHALMOLOGY AND STRABISMUS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-426-0307",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100011510",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; 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.