Provider Demographics
NPI:1740300383
Name:TINDER KRAUSS TINDER
Entity type:Organization
Organization Name:TINDER KRAUSS TINDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:CURTIS
Authorized Official - Last Name:DUFF
Authorized Official - Suffix:JR
Authorized Official - Credentials:ABOM
Authorized Official - Phone:859-278-6026
Mailing Address - Street 1:124 BURT RD
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2411
Mailing Address - Country:US
Mailing Address - Phone:859-278-6026
Mailing Address - Fax:859-278-6028
Practice Address - Street 1:124 BURT RD
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2411
Practice Address - Country:US
Practice Address - Phone:859-278-6026
Practice Address - Fax:859-278-6028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY324156FC0801X
KYKY863156FC0801X, 156FX1800X
KYKY0324156FX1800X
KY3010A-A156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens FitterGroup - Multi-Specialty
Not Answered156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000072444OtherANTHEM BCBS
KY52903242Medicaid
KY5155OtherAVESIS
KYKY0324OtherEYEMED
KYKY0324OtherEYEMED