Organization
KENTUCKY EYE SURGERY ASSOCIATES PSC
Active
Organization
KENTUCKY EYE SURGERY ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISHI V KUMAR MD (OWNER PRESIDENT)
(502) 368-3937
Entity
Organization
Contact information
Practice address
4940 HAZELWOOD AVENUE, LOUISVILLE, KY 40214
(502) 368-3937
(502) 368-0231
Mailing address
4940 HAZELWOOD AVENUE, LOUISVILLE, KY 40214
(502) 368-3937
(502) 368-0231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
18740
KY
207W00000X
Ophthalmology Physician
39832
KY
207W00000X
Ophthalmology Physician
40981
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1051615
PASSPORT
KY
05
—
64187404
—
KY
01
—
CM8145
RAIL ROAD MEDICARE
KY
Enumeration date
07/03/2007
Last updated
09/05/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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