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BLUEGRASS SURGERY & LASER CENTER
NPI 1124091699
Clinic/Center - Ambulatory Surgical in Louisville, KY

Active since February 07, 2006CLIA 18D0977171 · Waiver
1400 POPLAR LEVEL RD, SUITE 1, LOUISVILLE, KY 40217(502) 637-4800(502) 637-1550 Get Directions Write a Review

NPPES record last updated: June 17, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bluegrass Surgery & Laser Center NPPES

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

BLUEGRASS SURGERY & LASER CENTER (NPI 1124091699) is a healthcare organization registered as an ambulatory surgical in Louisville, Kentucky and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through August 21, 2026 and lists Christopher A Holden, Chief Manager Of Llc, as its authorized official.

NPPES Registry Identity

NPI1124091699
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameAMSURG KENTUCKY OPHTHALMOLOGY LLC
Location Address1400 POPLAR LEVEL RD, SUITE 1Louisville, KY 40217-1309
Mailing Address1400 Poplar Level Rd, Suite 1Louisville, KY 40217-1309 · (502) 637-4800 · Fax (502) 637-1550
Phone(502) 637-4800
Fax(502) 637-1550
Organization SubpartNo
Authorized OfficialChristopher A HoldenChief Manager Of Llc · (615) 665-1283
Enumeration DateFebruary 7, 2006
Last NPPES UpdateJune 17, 2008
✔ NPI 1124091699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in KY · 300133
1400 POPLAR LEVEL RD, Louisville, KY 40217
Open in Google Maps ↗

Other Names 1

Doing Business AsBluegrass Surgery & Laser Center

Other Identifiers 5

Medicaid3600107100KY
Other611212775-004KY · Humana Military, Inc.
Medicare OSCAR/certification18C0001030KY
Medicare PINASC1030KY
Medicare PIN490004736KY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0977171

Killer Bees, LLC D/B/A Bluegrass Surgery And Laser Center · Louisville, KY
Active · expires Aug 21, 2026
CLIA Number18D0977171
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 22, 2024
Certificate Expiration DateAugust 21, 2026
Laboratory DirectorDr. Lawrence Tenkman
Laboratory Phone(502) 637-4800
Laboratory LocationKiller Bees, LLC D/B/A Bluegrass Surgery And Laser Center9202 Leesgate Road, Louisville, KY 40222
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

LOUISVILLE ENDOSCOPY CENTER, PLLC
Clinic/Center (Ambulatory Surgical)
1400 POPLAR LEVEL RD, SUITE 2
LOUISVILLE, KY 40217
Jefferson County (502) 636-2003
LOUISVILLE OPTOMETRIC CENTERS, III PSC
Optometrist
1400 POPLAR LEVEL RD
LOUISVILLE, KY 40217
Jefferson County (502) 637-4800
EYE CENTERS OF LOUISVILLE,P.S.C.
Clinic/Center (Ambulatory Surgical)
1400 POPLAR LEVEL RD
LOUISVILLE, KY 40217
Jefferson County (502) 214-3390

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 Amsurg Kentucky Ophthalmology LLC's NPI number?

The NPI number for Amsurg Kentucky Ophthalmology LLC is 1124091699. It was assigned to this organization in the NPPES registry on February 7, 2006. The provider is doing business as Bluegrass Surgery & Laser Center.

Where is Amsurg Kentucky Ophthalmology LLC located?

Amsurg Kentucky Ophthalmology LLC is located at 1400 Poplar Level Rd Suite 1, Louisville, KY 40217. The listed phone number is (502) 637-4800.

What is Amsurg Kentucky Ophthalmology LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Amsurg Kentucky Ophthalmology LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0977171) is associated with this NPI, valid through August 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Amsurg Kentucky Ophthalmology LLC was last updated on June 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.