Provider Demographics
NPI:1801118492
Name:BRIAN KEPLINGER, O.D., PSC
Entity type:Organization
Organization Name:BRIAN KEPLINGER, O.D., PSC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:KEPLINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:502-695-1771
Mailing Address - Street 1:15 GRANDVIEW DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3235
Mailing Address - Country:US
Mailing Address - Phone:502-695-1771
Mailing Address - Fax:502-695-1448
Practice Address - Street 1:15 GRANDVIEW DR
Practice Address - Street 2:SUITE F
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3235
Practice Address - Country:US
Practice Address - Phone:502-695-1771
Practice Address - Fax:502-695-1448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-23
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1484-DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000287821OtherANTHEM BLUE CROSS BLUE SHIELD
KY7404229OtherAETNA
KY77000339Medicaid
KY2200221OtherUNITED HEALTH CARE
KY383697423OtherBLUEGRASS FAMILY HEALTH
KY=========OtherHUMANA
KY=========OtherHUMANA
KY2200221OtherUNITED HEALTH CARE