Eye Surgery of Kentuckianna LLLP

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYE SURGERY OF KENTUCKIANNA LLLP

Practice address

2932 Breckenridge LN Ste 5
Louisville, KY 40220-1490

Phone

(502) 883-1015

NPI assigned

Aug 18, 2021

Organization subpart

No

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

Authorized official

Name

Mohammed Ali Haider

Title

Medical Director

Phone

(502) 883-1015

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1841966108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2932 BRECKENRIDGE LN STE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201490",
            "telephone_number": "502-883-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2932 BRECKENRIDGE LN STE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201490",
            "telephone_number": "502-883-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY OF KENTUCKIANNA LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "MOHAMMED ALI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "502-883-1015"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye Centers of Louisville,P.S.C. (Bluegrass Surgery & Laser Center)
• Eye Centers of Louisville,PSC (Bennett & Bloom Eye Centers)
• Eye Specialists of Louisville, P.S.C.
• Eye Specialists of Louisville, P.S.C.
• Eye Specialists of Louisville, PSC
• Andrew Ahmet Eylem
• Elana Maria Eylem, PT, DPT
• Unyime Edet Eyoh, RN, FNP-C
• Marion D Eyre, MD
• Ez Tubz LLC

• Ambulatory Surgical Clinic/Center in Louisville, KY
• Providers in Louisville, KY by specialty
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.