| NPI | 1780047456 |
|---|---|
| Doing Business As | BLUEGRASS EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER BUTTS Billing Manager 502-243-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: KY 35792) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1994DT) |
| 207W00000X Ophthalmology (Licence: KY 24245) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-03-31 |