Organization · Type 2 NPI

Ky Doctors of Optometry, PLLC

Eyewear Supplier · Louisville, KY

NPI number 1205919099 Active

Practice location

1001 Breckinridge Lane
Louisville, KY 40207

Call (502) 893-2015 Map

Fax (502) 451-2934

Mailing address

PO Box 846027
Dallas, TX 75284-6027

Specialties and licenses

Taxonomy	Code	License
Eyewear Supplier Primary	332H00000X	None listed

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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NPI record

NPI: 1205919099
Entity type: Organization (Type 2)
Issued: Oct 23, 2006
Last updated: Aug 22, 2024
Status: Active

Other names

<unavail>
Ky Doctors of Optometry · doing business as
Visionworks Doctors of Optometry · doing business as

Authorized official

Grant Rubesh, OD
Owner
(726) 444-4078

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205919099

Ky Doctors of Optometry, PLLC's National Provider Identifier is 1205919099, issued on Oct 23, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Louisville, KY. The record was last updated on Aug 22, 2024.