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JOHN KENYON AMERICAN EYE INSTITUTE LLC NPI 1447259510


NPI Information

NPI: 1447259510
Provider Name: JOHN KENYON AMERICAN EYE INSTITUTE LLC

Former Legal Business Name: JOHN KENYON AMERICAN EYE INSTITUTE PC

Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 15D2022482

Address:
519 STATE ST
NEW ALBANY, IN
ZIP 47150
Phone: (812) 948-0616
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JOHN KENYON AMERICAN EYE INSTITUTE LLC is an ophthalmology in New Albany, IN. The provider is 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. JOHN KENYON AMERICAN EYE INSTITUTE LLC NPI is 1447259510. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is John Kenyon American Eye Institute Pc.

The provider's business location address is:

519 STATE ST
NEW ALBANY, IN
ZIP 47150-620
Phone: (812) 948-0616
Fax: (812) 949-3447

The provider's authorized official is Joseph P. Gira .
The authorized official title is Owner/manager and has the following contact phone number (812) 258-3048.

The CLIA number assigned to this NPI record is 15D2022482 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/20/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristINDIANANo
2207WX0009XOphthalmologyGlaucoma SpecialistINDIANANo
3207WX0107XOphthalmologyRetina SpecialistINDIANANo
4207W00000XOphthalmologyINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100621930MEDICAIDKENTUCKY
2000000056233OTHERKENTUCKYANTHEM
32433149000MEDICAIDKENTUCKY
47100604490MEDICAIDKENTUCKY
5100115930MEDICAIDINDIANA
61051941MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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