NPIMap

Organization Active NPI

Kentucky Institute for Eye Health & Surgery

  • Optometrist
  • Lexington, KY
National Provider Identifier
1902215486
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Practice address
601 Perimeter Dr
Ste 200
Lexington, KY 40517-4121
Phone
(859) 278-9393
Fax
(859) 278-0923
NPI assigned
Aug 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Authorized official

Name
Dr. Johannes C Evans, MD
Title
Owner
Phone
(859) 278-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

601 Perimeter Dr
Ste 200
Lexington, KY 40517-4121

Mailing address

601 Perimeter Dr
Ste 200
Lexington, KY 40517-4121
Phone (859) 278-9393

Other identifiers 1

IdentifierTypeStateIssuer
7100329920MedicaidKY

Other names 1

  • KENTUCKY EYE INSTITUTE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kentucky Eye Institute12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1902215486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 PERIMETER DR",
            "address_2": "STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174121",
            "telephone_number": "859-278-9393",
            "fax_number": "859-278-0923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PERIMETER DR",
            "address_2": "STE 200",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405174121",
            "telephone_number": "859-278-9393",
            "fax_number": "859-278-0923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JOHANNES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-278-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100329920",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KENTUCKY EYE INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KENTUCKY EYE INSTITUTE",
            "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 May 19, 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.