Distler, Huntington & Blair PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

DISTLER, HUNTINGTON & BLAIR PSC

Doing business as

Bluegrass Eye Center

Practice address

6400 Westwind Way
Crestwood, KY 40014-6773

Phone

(502) 243-2227

Fax

(502) 367-4020

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Bryan M. BlairNPI 1417945478

Title

MD/Owner

Phone

(502) 243-2227

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bluegrass Eye Center Doing business as

Locations

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.

• Bryan M Blair, MD

  • Ophthalmology Physician
  • Crestwood, KY
  • NPI 1417945478
  Authorized official Same address or phone

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407196800000",
    "number": "1972652998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 WESTWIND WAY",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400146773",
            "telephone_number": "502-243-2227",
            "fax_number": "502-243-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 WESTWIND WAY",
            "city": "CRESTWOOD",
            "state": "KY",
            "postal_code": "400146773",
            "telephone_number": "502-243-2227",
            "fax_number": "502-367-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTLER, HUNTINGTON & BLAIR PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2014-08-05",
        "status": "A",
        "authorized_official_last_name": "BLAIR",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "502-243-2227"
    },
    "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": "6591783300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Allison Davis, OTR/L
• Julie S Delozier, MA, CCC-SLP
• Molly Tarter Denise, PT
• Derby City Eye Care, PLLC
• Diabetes Clinical Services, PSC
• Distler, Huntington & Blair, PSC (Bluegrass Eye Center)
• John A. Distler, MD
• Alexa Grey Dotsey, OTR
• Amber Downs, PT, DPT
• Dr. 2Eyes PLLC (2Eyes)

• Ophthalmology Physician in Crestwood, KY
• Providers in Crestwood, KY by specialty
• Ophthalmology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2014; 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.