Provider Demographics
NPI:1083649172
Name:KOBY & KARP
Entity Type:Organization
Organization Name:KOBY & KARP
Other - Org Name:DOCTORS EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:KARP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-897-1604
Mailing Address - Street 1:PO BOX 206068
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40250-6068
Mailing Address - Country:US
Mailing Address - Phone:502-897-1604
Mailing Address - Fax:502-897-0489
Practice Address - Street 1:4004 DUPONT CR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-897-1604
Practice Address - Fax:502-897-0489
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65918815Medicaid
CB0333OtherRAILROAD MEDICARE
0268650001Medicare NSC
KY65918815Medicaid