# NORTON CHILDREN'S MEDICAL GROUP, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Norton Children's Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861015521
- **Authorized official:** SHELLEY GAST (SYST VP MNGD CARE & PAYOR STRAT)
- **Authorized official phone:** (502) 272-5335

## Contact information

- **Practice address:** 4803 OLYMPIA PARK PLZ STE 1100, LOUISVILLE, KY 40241-3068
- **Practice address phone:** (502) 272-5134
- **Practice address fax:** (502) 272-5339
- **Mailing address:** PO BOX 776879, CHICAGO, IL 60677
- **Mailing address phone:** (502) 588-9490
- **Mailing address fax:** (502) 272-5116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | NULL | Yes |
| 207WX0110X | Pediatric Ophthalmology and Strabismus Specialist Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/28/2020
- **Last updated:** 09/22/2021