KY DOCTORS OF OPTOMETRY
NPI 1205919099
Eyewear Supplier in Louisville, KY

Active since October 23, 2006
1001 BRECKINRIDGE LANE, LOUISVILLE, KY 40207(502) 893-2015(502) 451-2934 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 22, 2024, Jan 27, 2022 (2 updates tracked since 2022).

About Ky Doctors Of Optometry NPPES

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

KY DOCTORS OF OPTOMETRY (NPI 1205919099) is a healthcare organization registered as an eyewear supplier in Louisville, Kentucky and active in the NPI registry since October 2006. The organization lists Grant Rubesh, Owner, as its authorized official.

NPPES Registry Identity

NPI1205919099
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameKY DOCTORS OF OPTOMETRY, PLLC
Location Address1001 BRECKINRIDGE LANELouisville, KY 40207
Mailing AddressPo Box 846027Dallas, TX 75284-6027 · (210) 524-6663 · Fax (210) 524-6587
Fax(502) 451-2934
Organization SubpartNo
Authorized OfficialGrant RubeshOwner · (726) 444-4078
Enumeration DateOctober 23, 2006
Last NPPES UpdateAugust 22, 20242 updates tracked since enumeration
NPPES CertifiedAugust 22, 2024
NPI 1205919099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

1001 BRECKINRIDGE LANE, Louisville, KY 40207

Other Names 2

Doing Business AsKy Doctors Of Optometry
Doing Business AsVisionworks Doctors Of Optometry

Other Identifiers 2

Medicaid7790297100KY
Medicaid100470960FIN

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205919099, enumerated as an "organization" on October 23, 2006.

The provider is located at 1001 BRECKINRIDGE LANE LOUISVILLE, KY 40207 and the phone number is (502) 893-2015.

Eyewear Supplier with taxonomy code 332H00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.