Provider Demographics
NPI:1518572957
Name:KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Entity Type:Organization
Organization Name:KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Other - Org Name:KENTUCKY EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER/AM
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DOOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:859-278-9393
Mailing Address - Street 1:601 PERIMETER DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-4121
Mailing Address - Country:US
Mailing Address - Phone:859-278-9393
Mailing Address - Fax:
Practice Address - Street 1:149 FRANKFORT ST
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:KY
Practice Address - Zip Code:40383-1121
Practice Address - Country:US
Practice Address - Phone:859-873-7805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KENTUCKY INSTITUTE FOR EYE HEALTH & SURGERY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-12
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty