Organization
JESSAMINE EYE CENTER, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA KATHLEEN KATZ M.D. (PHYSICIAN / OWNER)
(859) 881-1400
Entity
Organization
Contact information
Practice address
100 JOHN SUTHERLAND DR, SUITE 3, NICHOLASVILLE, KY 40356-2424
(859) 881-1400
(859) 881-3489
Mailing address
100 JOHN SUTHERLAND DR, SUITE 3, NICHOLASVILLE, KY 40356-2424
(859) 881-1400
(859) 881-3489
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35266
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000240538
ANTHEM BC/BS
KY
05
—
64007511
—
KY
01
—
7284
MEDICARE GROUP NUMBER
KY
01
—
AETNA
7750007
KY
Enumeration date
08/24/2007
Last updated
08/24/2007
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