Organization
KENTUCKY EYE CARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK AARON IHNEN MD (PHYSICIAN)
(502) 896-5750
Entity
Organization
Contact information
Practice address
6400 DUTCHMANS PKWY, STE 125, LOUISVILLE, KY 40205-3340
(502) 896-8700
(502) 896-0813
Mailing address
6400 DUTCHMANS PKWY, STE 125, LOUISVILLE, KY 40205-3340
(502) 896-8700
(502) 896-0813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65918864
—
KY
01
—
CI0134
RAILROAD MEDICARE
KY
Enumeration date
10/24/2006
Last updated
01/23/2024
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