Provider Demographics
NPI:1508009754
Name:NEAMTU, VICTOR A (MD)
Entity type:Individual
Prefix:
First Name:VICTOR
Middle Name:A
Last Name:NEAMTU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3810 SPRINGHURST BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6162
Mailing Address - Country:US
Mailing Address - Phone:502-897-9881
Mailing Address - Fax:502-897-9824
Practice Address - Street 1:3810 SPRINGHURST BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6162
Practice Address - Country:US
Practice Address - Phone:502-897-9881
Practice Address - Fax:502-897-9824
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01078210A207W00000X
KY50062207WX0107X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC379405Medicaid
SC379405Medicaid
IN411360005Medicare PIN
KYK213260Medicare PIN