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Organization
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
Active
Organization
RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
Active
Other names
Retina Associates of Kentucky
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH PRAVOOT GIRA MD (OWNER)
(314) 909-0633
Entity
Organization
Contact information
Practice address
120 N EAGLE CREEK DR, STE 500, LEXINGTON, KY 40509-1827
(859) 263-3900
(859) 263-3757
Mailing address
120 N EAGLE CREEK DR STE 500, LEXINGTON, KY 40509-1827
(859) 263-3900
(859) 263-3757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
1689DT
KY
207W00000X
Ophthalmology Physician
—
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007018000
—
WV
05
—
0730481
—
OH
05
—
201209490A
—
IN
05
—
300037863
—
IN
05
—
7100856500
—
KY
05
—
7100871660
—
KY
Enumeration date
02/02/2006
Last updated
11/11/2025
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