Provider Demographics
NPI:1942309505
Name:EYE ASSOCIATES OF DANVILLE PSC
Entity Type:Organization
Organization Name:EYE ASSOCIATES OF DANVILLE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARTON
Authorized Official - Middle Name:LOGAN
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:859-236-6055
Mailing Address - Street 1:440 WEST MARTIN L KING BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40422
Mailing Address - Country:US
Mailing Address - Phone:859-236-6055
Mailing Address - Fax:859-236-6117
Practice Address - Street 1:440 WEST MARTIN L KING BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422
Practice Address - Country:US
Practice Address - Phone:859-236-6055
Practice Address - Fax:859-236-6117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65919797Medicaid
CF7733OtherRAILROAD MEDICARE
KY8157Medicare ID - Type Unspecified
KY65919797Medicaid