NPIMap

Organization Active NPI

Kentucky Eye Care PSC

  • Ophthalmology Physician
  • Shepherdsville, KY
National Provider Identifier
1952838716
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KENTUCKY EYE CARE PSC
Practice address
189 Adam Shepherd Pkwy
Ste 20
Shepherdsville, KY 40165-6579
Phone
(502) 215-7094
Fax
(502) 896-0813
NPI assigned
May 11, 2017
Last updated
Jan 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
KENTUCKY EYE CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Authorized official

Name
Mark Aaron Ihnen, MDNPI 1770809212
Title
Physician
Phone
(502) 896-5750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X
Optometrist 152W00000X
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

189 Adam Shepherd Pkwy
Ste 20
Shepherdsville, KY 40165-6579

Mailing address

6400 Dutchmans Pkwy
Ste 125
Louisville, KY 40205-3340
Phone (502) 896-8700

Other identifiers 1

IdentifierTypeStateIssuer
65918864MedicaidKY

National Provider Directory

National Provider Directory
Part of
Kentucky Eye Care PSC

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1952838716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 DUTCHMANS PKWY",
            "address_2": "STE 125",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053340",
            "telephone_number": "502-896-8700",
            "fax_number": "502-896-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "189 ADAM SHEPHERD PKWY",
            "address_2": "STE 20",
            "city": "SHEPHERDSVILLE",
            "state": "KY",
            "postal_code": "401656579",
            "telephone_number": "502-215-7094",
            "fax_number": "502-896-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTUCKY EYE CARE PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENTUCKY EYE CARE",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "IHNEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "502-896-5750",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65918864",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shepherdsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.