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Contact Information

RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
120 N EAGLE CREEK DR
STE 500
LEXINGTON, KY40509-1827
 Phone: 859-263-3900
 Fax: 859-263-3757
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC · (Female)

NPI # 1619949971
Status Active
Credentials
Entity Individual
Enumeration date 02/02/2006
Last updated 11/11/2025 - About 7 months ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 1689DT
  • IN Medicaid 201209490A
  • IN Medicaid 300037863
  • KY Medicaid 7100856500
  • KY Medicaid 7100871660
  • OH Medicaid 0730481
  • WV Medicaid 0007018000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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