Organization
THE OPHTHALMOLOGY GROUP, LLC
Active
Other names
Eyecare Partners, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH P. GIRA MD (OWNER)
(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
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100053130
—
KY
01
—
CB5783
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
09/20/2023
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