Organization
KENTUCKY EYE CARE PSC
Active
Parent organization
KENTUCKY EYE CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
KENTUCKY EYE CARE
Authorized official
MARK AARON IHNEN MD (PHYSICIAN)
(502) 896-5750
Entity
Organization
Contact information
Practice address
189 ADAM SHEPHERD PKWY, STE 20, SHEPHERDSVILLE, KY 40165-6579
(502) 215-7094
(502) 896-0813
Mailing address
6400 DUTCHMANS PKWY, STE 125, LOUISVILLE, KY 40205-3340
(502) 896-8700
(502) 896-0813
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
—
65918864
—
KY
Enumeration date
05/11/2017
Last updated
01/23/2024
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