Organization
KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Active
Other names
KENTUCKY EYE INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHANNES C EVANS MD (OWNER)
(859) 278-9393
Entity
Organization
Contact information
Practice address
601 PERIMETER DR, STE 200, LEXINGTON, KY 40517-4121
(859) 278-9393
(859) 278-0923
Mailing address
601 PERIMETER DR, STE 200, LEXINGTON, KY 40517-4121
(859) 278-9393
(859) 278-0923
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100329920
—
KY
Enumeration date
08/08/2014
Last updated
05/19/2021
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