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Organization

EYE CENTERS OF LOUISVILLE,PSC

Active
Other names
BENNETT & BLOOM EYE CENTERS
Organization subpart
No

Provider details

NPI number
Authorized official
JOSEPH P GIRA M.D. (OWNER)
(314) 909-0633
Entity
Organization

Contact information

Practice address
1935 BLUEGRASS AVE STE 200, LOUISVILLE, KY 40215-1181
(502) 895-0040
(502) 361-4488
Mailing address
PO BOX 736502, CHICAGO, IL 60673-6502
(502) 895-0040
(502) 361-4488

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
KY
207W00000X
Ophthalmology Physician
Primary
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200111610
IN
05
300024738
IN
05
300042089
IN
05
300042127
IN
05
300042169
IN
05
300042201
IN
05
300042871
IN
05
300072302
IN
05
300112956
IN
05
7100043960
KY
05
77901882
KY
Enumeration date
07/28/2006
Last updated
10/15/2025
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