Organization
BLUEGRASS EYE SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRFAN ANSARI MD (PHYSICIAN OWNER)
(502) 682-7845
Entity
Organization
Contact information
Practice address
715 SHAKER DR STE 137, LEXINGTON, KY 40504-3674
(502) 682-7845
Mailing address
715 SHAKER DR STE 137, LEXINGTON, KY 40504-3674
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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