1. Home
  2. Directory
  3. Kentucky
  4. Louisville
  5. Ophthalmology
  6. NPI Profile

LOUISVILLE RETINA PLLC
NPI 1215691308
Ophthalmology in Louisville, KY

Active since October 26, 2021
1169 EASTERN PKWY STE 3323, LOUISVILLE, KY 40217(718) 300-1540 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Louisville Retina Pllc NPPES

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

LOUISVILLE RETINA PLLC (NPI 1215691308) is a healthcare organization registered as an ophthalmology in Louisville, Kentucky and active in the NPI registry since October 2021. The organization lists Anupa Mandava, Md, as its authorized official.

NPPES Registry Identity

NPI1215691308
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameLOUISVILLE RETINA PLLC
Location Address1169 EASTERN PKWY STE 3323Louisville, KY 40217-1415
Mailing Address1169 Eastern Pkwy Ste 3323Louisville, KY 40217-1415 · (502) 873-0900 · Fax (502) 873-0950
Phone(718) 300-1540
Organization SubpartNo
Authorized OfficialAnupa MandavaMd · (718) 300-1540
Enumeration DateOctober 26, 2021
Last NPPES UpdateFebruary 3, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1215691308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
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.
1169 EASTERN PKWY STE 3323, Louisville, KY 40217
Open in Google Maps ↗

Other Identifiers 1

Medicaid7100779210KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. ANUPA MANDAVA M.D.
Ophthalmology
1169 EASTERN PKWY STE 3323
LOUISVILLE, KY 40217
Jefferson County (718) 300-1540

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 Louisville Retina PLLC's NPI number?

The NPI number for Louisville Retina PLLC is 1215691308. It was assigned to this organization in the NPPES registry on October 26, 2021.

Where is Louisville Retina PLLC located?

Louisville Retina PLLC is located at 1169 Eastern Pkwy Ste 3323, Louisville, KY 40217. The listed phone number is (718) 300-1540.

What is Louisville Retina PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Louisville Retina PLLC was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.