BLUEGRASS EYECARE CENTER, PLLC
NPI 1063680304
Ophthalmology in Lexington, KY

Active since February 20, 2008
715 SHAKER DR, SUITE 120, LEXINGTON, KY 40504(859) 278-8443 Get Directions Write a Review

NPPES record last updated: September 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bluegrass Eyecare Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLUEGRASS EYECARE CENTER, PLLC (NPI 1063680304) is a healthcare organization registered as an ophthalmology in Lexington, Kentucky and active in the NPI registry since February 2008. The organization lists W Douglas Back, Secretary/member, as its authorized official.

NPPES Registry Identity

NPI1063680304
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameBLUEGRASS EYECARE CENTER, PLLC
Location Address715 SHAKER DR, SUITE 120Lexington, KY 40504-3674
Mailing Address715 Shaker Dr, Suite 120Lexington, KY 40504-3674 · (859) 278-8443
Organization SubpartNo
Authorized OfficialW Douglas BackSecretary/member · (859) 278-8443
Enumeration DateFebruary 20, 2008
Last NPPES UpdateSeptember 8, 2008
NPI 1063680304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in KY · 21381
Definition

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.

Also ListedOptometristTaxonomy 152W00000X
715 SHAKER DR, Lexington, KY 40504

Other Identifiers 3

Other00599Medicare Group Number
Medicare NSC6107120001KY
Medicaid7100030920KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Pain Medicine)
715 SHAKER DR, STE 101 PAIN MANAGEMENT MEDICINE
LEXINGTON, KY 40504
Ophthalmology
715 SHAKER DR, STE 120
LEXINGTON, KY 40504
Plastic Surgery
715 SHAKER DR, STE 100
LEXINGTON, KY 40504
Specialist
715 SHAKER DR, SUITE 100
LEXINGTON, KY 40504
Psychologist
715 SHAKER DR, SUITE 128
LEXINGTON, KY 40504
Pain Medicine (Pain Medicine)
715 SHAKER DR, SUITE 132
LEXINGTON, KY 40504
Psychologist (Clinical)
715 SHAKER DR, SUITE 132
LEXINGTON, KY 40504
Clinic/Center (Pain)
715 SHAKER DR, SUITE 132
LEXINGTON, KY 40504

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063680304, enumerated as an "organization" on February 20, 2008.

The provider is located at 715 SHAKER DR SUITE 120 LEXINGTON, KY 40504 and the phone number is (859) 278-8443.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Medicare and. Please consult your insurance carrier or call the provider to verify.