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Individual

DR. JAMES D HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
1169 EASTERN PKWY STE 1211, LOUISVILLE, KY 40217-1462
(502) 896-8700
(502) 960-8138
Mailing address
6400 DUTCHMANS PKWY, STE 125, LOUISVILLE, KY 40205-3342
(502) 896-8700
(502) 896-0813

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1055DT
KY
152WC0802X
Corneal and Contact Management Optometrist
1055DT
KY
152WC0802X
Corneal and Contact Management Optometrist
18002127B
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000042390
ANTHEM
KY
01
000000062215
ANTHEM
IN
01
1061182
MEDICAID PASSPORT
KY
01
200189590A
MEDICAID MADISON OFFICE
01
200189590B
MEDICAID LOUISVILLEOFFICE
01
2200092
UNITED HEALTHCARE
01
410010011
MEDICARE RAILROAD
KY
01
410024957
MEDICARE RAILROAD
IN
01
4672263
AETNA
05
77010551
KY
01
911283
BLOCK VISION
01
K001342
TRICARE KENTUCKY OFFICE
Enumeration date
08/12/2005
Last updated
02/13/2023
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