Organization · Type 2 NPI

Ky Doctors of Optometry, PLLC

Eyewear Supplier · Bowling Green, KY

NPI number 1306920632 Active

Practice location

2608 Scottsville Road
Bowling Green, KY 42104

Call (270) 782-2025 Map

Fax (270) 796-2075

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: 1306920632
Entity type: Organization (Type 2)
Issued: Oct 24, 2006
Last updated: Mar 31, 2026
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 1306920632

Ky Doctors of Optometry, PLLC's National Provider Identifier is 1306920632, issued on Oct 24, 2006. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Bowling Green, KY. The record was last updated on Mar 31, 2026.