Organization
BLUEGRASS RETINA CONSULTANTS, PSC
Active
Organization
BLUEGRASS RETINA CONSULTANTS, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIA F THOMPSON MD (OWNER)
(859) 264-0445
Entity
Organization
Contact information
Practice address
3290 BLAZER PKWY STE 100, LEXINGTON, KY 40509-2169
(859) 264-0445
(859) 264-0447
Mailing address
3290 BLAZER PKWY STE 100, LEXINGTON, KY 40509-2169
(859) 264-0445
(859) 264-0447
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000496249
BCBS
KY
05
—
64341944
—
KY
Enumeration date
08/18/2006
Last updated
05/06/2013
Update your record
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