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Contact Information

BLUEGRASS FAMILY EYECARE INC.
1303 MAIN STREET
BEAVER DAM, KY42320
 Phone: 270-274-3294
 Fax: 270-274-4811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for BLUEGRASS FAMILY EYECARE INC.

NPI # 1598838385
LBN Legal business name BLUEGRASS FAMILY EYECARE INC.
Authorized official JONATHAN SHREWSBURY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/17/2006
Last updated 06/18/2014 - About 12 years ago
Identifiers
KY License # 0956DT
KY Medicaid 77903607
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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