CHILDRENS EYE SPECIALISTS PLLC (NPI# 1598952293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598952293 |
| Entity Type | Organization |
| Organization Name | CHILDRENS EYE SPECIALISTS PLLC |
| Practice Address |
9700 Park Plaza Ave Suite 205 Louisville KY 40241-2287 |
| Mailing Address |
9700 Park Plaza Ave Suite 205 Louisville KY 40241-2236 |
| Practice Telephone | 5024253148 |
| Practice Fax Number | 5024253149 |
| Mailing Telephone | 5024253148 |
| Mailing Fax Number | 5024253149 |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2009-05-13 |
| Authorized Official Name | FARAH S IKRAM (OPHTHALMOLOGIST) |
| Authorized Official Telephone | 5024253148 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 33872 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200259330B | 05 | |
| KY | PASSPORT | 50017269 | 01 |
| KY | 6433872600 | 05 |
| Street Address |
9700 PARK PLAZA AVE SUITE 205 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40241-2287 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267499 | Willard David Sapp | Marriage & Family Therapist | 9700 Park Plaza Ave, Ste 105, Louisville, KY 40241-2236 | 2006-03-02 |
| 1902274426 | Brian Christopher Belva | Psychologist | 9700 Park Plaza Ave, Suite 106, Louisville, KY 40241-2236 | 2015-09-15 |
| 1093125247 | Kentucky Psychiatric and Mental Health Serivces, Pllc | Specialist | 9700 Park Plaza Ave, Suite 108, Louisville, KY 40241-2236 | 2014-04-28 |
| 1205272812 | L. Kevin Chapman, Inc. | Community/Behavioral Health | 9700 Park Plaza Ave, Suite 108, Louisville, KY 40241-2236 | 2013-05-22 |
| 1972859098 | University of Louisville Physicians, Inc. | Pediatrics | 9700 Park Plaza Ave, Suite 110, Louisville, KY 40241-2236 | 2012-07-26 |
| 1700177631 | Meagan Elizabeth Marcum | Psychologist | 9700 Park Plaza Ave, Suite 106, Louisville, KY 40241-2236 | 2011-04-26 |
| 1649577362 | University Pediatric Pulmonary, LLC | Pediatrics | 9700 Park Plaza Ave, Ste 110, Louisville, KY 40241-2286 | 2011-02-15 |
| 1083929871 | University Pediatrics Foundation, Inc. | Pediatrics | 9700 Park Plaza Ave, Ste 110, Louisville, KY 40241-2236 | 2010-08-17 |
| 1174707996 | Kimberly Jean Waltrip | Social Worker | 9700 Park Plaza Ave, Ste. 105, Louisville, KY 40241-2236 | 2007-12-28 |
| 1356522932 | Bailey & Associates Psc | Psychologist | 9700 Park Plaza Ave, Suite 105, Louisville, KY 40241-2236 | 2007-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033353 | Tyler Roberts | Physician Assistant | Private, Louisville, KY 40241 | 2020-08-12 |
| 1639636988 | Paladina Health, LLC | Family Medicine | Paladina Health Louisville Park Plaza, 9720 Park Plaza Avenue #101, Louisville, KY 40241 | 2019-02-22 |
| 1164990396 | Tiffany Elizabeth Gallucci | Nurse Practitioner | 4915 Norton Healthcare Boulevard, Louisville, KS 40241 | 2018-11-06 |
| 1952876146 | Ashley Lynne Johnson Belcher | Psychologist | 9700 Park Plaza Avenue, Ste. 106, Louisville, KY 40241 | 2018-10-04 |
| 1265935977 | Family Podiatry Center Pllc | Podiatrist | 9850 Von Allmen Ct, Louisville, KY 40241 | 2018-03-09 |
| 1346767472 | Bridgett Lin Youngblood | Case Manager/Care Coordinator | 4313 Brownsboro Glen Rd, Louisville, KY 40241 | 2017-08-29 |
| 1518375690 | Amir Shahla | Dentist | 10500 Fischer Park Dr, Louisville, KY 40241 | 2014-08-01 |
| 1255741781 | Alicia M Durham | Marriage & Family Therapist | 3900 Riveroaks Ln, Louisville, KY 40241 | 2014-05-06 |
| 1962826719 | Applied Behavioral Consulting, LLC | Community/Behavioral Health | 4517 Shenandoah Drive, Louisville, KY 40241 | 2014-02-14 |
| 1336579176 | Nicholas Weickel | Physical Therapist | 9880 Angie's Way, Suite 100, Louisville, KY 40241 | 2013-11-14 |
| Find all providers in zip 40241 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710257316 | Anupa Mandava | Ophthalmology | 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 | 2012-01-12 |
| 1508133174 | Donald L. Kellum | Ophthalmology | 410 Orchard Dr, Louisville, CO 80027-3248 | 2011-11-25 |
| 1720376338 | Thong Diep Pham | Ophthalmology | 301 East Muhammad Ali Boulevard, Louisville, KY 40201 | 2011-07-17 |
| 1851622914 | Martha K Heyburn | Ophthalmology | 3719 Fairway Ln, Louisville, KY 40207-1414 | 2010-01-28 |
| 1003071200 | Mark Cassol Md Psc | Ophthalmology | 2600 W. Broadway, Suite 105, Louisville, KY 40211 | 2008-07-28 |
| 1649431560 | Broadway Eye Care Associates, Psc | Ophthalmology | 2600 W Broadway Ste 105, Louisville, KY 40211-1303 | 2008-06-23 |
| 1164682084 | Anne P Rowland | Ophthalmology | 9200 Leesgate Rd Ste 100, Louisville, KY 40222-5173 | 2008-06-13 |
| 1093998171 | M. Douglas Gossman, Md, Pllc | Ophthalmology | 2302 Hurstbourne Village Dr Ste 700, Louisville, KY 40299-1878 | 2007-12-11 |
| 1801096136 | Kentucky Pediatric Ophthalmology and Strabismus, Pllc | Ophthalmology | 1102 Lyndon Ln, Suite A, Louisville, KY 40222-4318 | 2007-07-24 |
| 1588862361 | Kentucky Eye Surgery Associates Psc | Ophthalmology | 4940 Hazelwood Avenue, Louisville, KY 40214 | 2007-07-03 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40241 |
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| 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.