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
13 VILLAGE PLZ, SHELBYVILLE, KY 40065-1745
(502) 633-0829
(502) 633-0516
Mailing address
13 VILLAGE PLZ, SHELBYVILLE, KY 40065-1745
(502) 633-0829
(502) 633-0516
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
—
100023950A
—
IN
Enumeration date
12/28/2006
Last updated
01/23/2024
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