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

Q: What is Bluegrass Eyecare Center, PLLC's NPI number?

The NPI number for Bluegrass Eyecare Center, PLLC is 1063680304. It was assigned to this organization in the NPPES registry on February 20, 2008.

Q: What is Bluegrass Eyecare Center, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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: August 09, 2026.

On this page

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

Phone(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

Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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.

MANOOCHEHR MAZLOOMDOOST PSC

Pain Medicine (Pain Medicine)

715 SHAKER DR, SUITE 132
LEXINGTON, KY 40504

Fayette County (859) 275-4878

KENTUCKY HAND CENTER PSC

Orthopaedic Surgery

715 SHAKER DR, SUITE #104
LEXINGTON, KY 40504

Fayette County (859) 278-9546

JARED CHRISTIAN NIMTZ MD

Plastic Surgery

715 SHAKER DR, SUITE 100
LEXINGTON, KY 40504

Fayette County (859) 277-9435

PAIN MANAGEMENT MEDICINE

Clinic/Center (Pain)

715 SHAKER DR, SUITE 132
LEXINGTON, KY 40504

Fayette County (859) 275-4878

DR. KAREN L. DEMOSS PH.D.

Psychologist

715 SHAKER DR, SUITE 128
LEXINGTON, KY 40504

Fayette County (859) 277-2547

WILLIAM L. DOWDEN, M.D. AND DAVID S. KIRN, M.D., PSC

Specialist

715 SHAKER DR, SUITE 100
LEXINGTON, KY 40504

Fayette County (859) 277-9435

C. RICHARD BOWERS JR. M.D.

Ophthalmology

715 SHAKER DR, SUITE 120
LEXINGTON, KY 40504

Fayette County (859) 278-8443

MARSHA K PENN MD

Ophthalmology

715 SHAKER DR, STE 120
LEXINGTON, KY 40504

Fayette County (859) 278-8443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bluegrass Eyecare Center, PLLC's NPI number?

The NPI number for Bluegrass Eyecare Center, PLLC is 1063680304. It was assigned to this organization in the NPPES registry on February 20, 2008.

Where is Bluegrass Eyecare Center, PLLC located?

Bluegrass Eyecare Center, PLLC is located at 715 Shaker Dr Suite 120, Lexington, KY 40504. The listed phone number is (859) 278-8443.

What is Bluegrass Eyecare Center, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

What insurance does Bluegrass Eyecare Center, PLLC accept?

Health plans from BlueCross BlueShield of Tennessee list Bluegrass Eyecare Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bluegrass Eyecare Center, PLLC was last updated on September 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.