KENTUCKY OPTICAL COMPANY LLC (NPI# 1003060930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003060930 |
| Entity Type | Organization |
| Organization Name | KENTUCKY OPTICAL COMPANY LLC |
| Practice Address |
4940 Hazelwood Ave Louisville KY 40214-1270 |
| Practice Telephone | 5023672010 |
| Practice Fax Number | 5023680231 |
| Mailing Telephone | 5023672010 |
| Mailing Fax Number | 5023680231 |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2013-10-17 |
| Authorized Official Name | DR. SUSHIL V KUMAR (OWNER) |
| Authorized Official Telephone | 5023683937 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Street Address |
4940 HAZELWOOD AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40214-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073509592 | Ashima Kumar Gupta | Ophthalmology | 4940 Hazelwood Ave, Louisville, KY 40214-1270 | 2005-09-20 |
| 1174175749 | Guomin Jiang | Optometrist | 4940 Hazelwood Ave, Louisville, KY 40214-1270 | 2019-07-12 |
| 1134278427 | Sushil V Kumar | Ophthalmology | 4940 Hazelwood Ave, Louisville, KY 40214 | 2007-01-09 |
| 1417963554 | Michael Scott Barr | Physical Therapist | 4940 Hazelwood Ave, Louisville, KY 40214-1270 | 2006-07-31 |
| 1114970415 | Rishi Verma Kumar | Ophthalmology | 4940 Hazelwood Ave, Louisville, KY 40214-1270 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477058659 | Abcdentistry | Clinic/Center | 5316 S 3rd St, Louisville, KY 40214 | 2018-03-28 |
| 1538591300 | Byrne Dental,psc | Dentist | 4739 So. Third Street, Louisville, KY 40214 | 2013-08-05 |
| 1205110400 | Michael Wayne Probst | Pharmacist | 5201 South Third Street, Louisville, KY 40214 | 2011-10-06 |
| 1871876920 | Cindy Eillene Ohlmann | Pharmacist | 5400 New Cut Road, Louisville, KY 40214 | 2011-09-26 |
| 1801129960 | Deborah Suzanne Slusher | Speech-Language Pathologist | 109 Seneca Trail, Louisville, KY 40214 | 2009-09-08 |
| 1255592267 | Mitisha Nichole Martin | Dentist | 5316 S. 3rd Street, Louisville, KY 40214 | 2008-06-23 |
| 1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
| 1558565739 | James Latroy Burks | Counselor | 927 Southview Rd, Louisville, KY 40214 | 2007-06-12 |
| 1770792475 | Kimberly Lynn Wheatley | Physical Therapist | 250 Kenwood Hill Road, Louisville, KY 40214 | 2007-05-21 |
| 1821219601 | Courtney Marie Smith | Speech-Language Pathologist | 3222 Rolling Oak Blvd, Louisville, KS 40214 | 2007-05-01 |
| Find all providers in zip 40214 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598399727 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 7900 Shelbyville Rd Ste B15, Louisville, KY 40222-5461 | 2020-02-26 |
| 1194215764 | Opticouture LLC | Eyewear Supplier (Equipment, not the service) | 959 Vine Street, Louisville, KY 40204-2071 | 2018-05-18 |
| 1417384207 | Dr. Mark Lynn & Associates, Pllc | Eyewear Supplier (Equipment, not the service) | 7945 Bardstown Rd, Louisville, KY 40291-3437 | 2013-10-11 |
| 1336492453 | Headwack LLC | Eyewear Supplier (Equipment, not the service) | 1958 Production Ct, Louisville, KY 40299-2104 | 2012-10-26 |
| 1699966994 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 4601b Proximity Dr, Louisville, KY 40213-2483 | 2007-08-05 |
| 1740316462 | Springer and Lee Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 4917 Brownsboro Rd, Louisville, KY 40222-6465 | 2007-02-26 |
| 1285760926 | Middletown Eye Care Pllc | Eyewear Supplier (Equipment, not the service) | 13324 Shelbyville Rd, Louisville, KY 40223-3936 | 2007-02-26 |
| 1649305095 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 4100 Outer Loop, Louisville, KY 40219-3849 | 2007-02-23 |
| 1588799035 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 3554 Springhurst Blvd, Louisville, KY 40241-4141 | 2007-02-23 |
| 1275679417 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 7607 Shelbyville Road, Louisville, KY 40222 | 2007-01-29 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40214 |
Please comment or provide details below to improve the information on KENTUCKY OPTICAL COMPANY LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.