Provider Demographics
NPI:1851841712
Name:PARTNERS IN EYECARE, PSC
Entity Type:Organization
Organization Name:PARTNERS IN EYECARE, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOATS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:502-240-8543
Mailing Address - Street 1:12123 SHELBYVILLE RD
Mailing Address - Street 2:SUITE 100 #311
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40243-1079
Mailing Address - Country:US
Mailing Address - Phone:502-267-6567
Mailing Address - Fax:502-267-0055
Practice Address - Street 1:1401 ALLIANT AVE
Practice Address - Street 2:
Practice Address - City:JEFFERSONTOWN
Practice Address - State:KY
Practice Address - Zip Code:40299-6372
Practice Address - Country:US
Practice Address - Phone:502-267-6567
Practice Address - Fax:502-267-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1665DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty