Organization
THE OPHTHALMOLOGY GROUP, LLC
Active
Organization
THE OPHTHALMOLOGY GROUP, LLC
Active
Parent organization
THE OPHTHALMOLOGY GROUP, LLC
Other names
Paducah Retinal Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE OPHTHALMOLOGY GROUP, LLC
Authorized official
JOSEPH P GIRA MD (PRESIDENT OF OPHTHALMOLOGY)
(270) 442-7307
Entity
Organization
Contact information
Practice address
4630 VILLAGE SQUARE DRIVE, PADUCAH, KY 42001-7502
(270) 442-1671
(270) 442-7307
Mailing address
4630 VILLAGE SQUARE DRIVE, PADUCAH, KY 42001-7502
(270) 442-1671
(270) 442-7307
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB5783
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
11/21/2018
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