Organization
EYE CENTERS OF LOUISVILLE,PSC
Active
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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