RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
NPI 1619949971
Ophthalmology - Retina Specialist in Lexington, KY
NPI Status: Active since February 02, 2006
Contact Information
120 N EAGLE CREEK DR
STE 500
LEXINGTON, KY
ZIP 40509
Phone: (859) 263-3900
Fax: (859) 263-3757
- Organization
- Ophthalmology
- Retina Specialist
- Accepts Insurance
- CLIA Number: 18D1068560
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-15-2027
About RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
This page provides the complete NPI Profile along with additional information for Retina And Vitreous Associates Of Kentucky Pllc, a provider established in Lexington, Kentucky operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1619949971 assigned on February 2006. The practitioner's primary taxonomy code is 207WX0107X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's
- NPI
- 1619949971
- Provider Legal Name
- RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
- Other Organization Name
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 120 N EAGLE CREEK DR STE 500 LEXINGTON, KY 40509
- Location Phone
- (859) 263-3900
- Location Fax
- (859) 263-3757
- Mailing Address
- 120 N EAGLE CREEK DR STE 500 LEXINGTON, KY 40509
- Mailing Phone
- (859) 263-3900
- Mailing Fax
- (859) 263-3757
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-02-2006
- Last Update Date
- 11-11-2025
- Code Navigator
Location Map
Secondary Locations
- 73 QUARTERMASTER CT
JEFFERSONVILLE, IN 47130
(859) 263-3900 - 850 Hail Knob Rd Ste A
Somerset, KY 42503
(859) 263-3900 - 315 Leonardwood Rd Ste 4
Frankfort, KY 40601
(859) 263-3900 - 1700 Winchester Ave
Ashland, KY 41101
(859) 263-3900 - 120 N Eagle Creek Dr Ste 440
Lexington, KY 40509
(859) 263-3900 - 6450 Dutchmans Pkwy
Louisville, KY 40205
(859) 744-0263 - 2935 Dolphin Dr Bldg 300
Elizabethtown, KY 42701
(859) 263-3900 - 713 Broadway St Ste 201
Paintsville, KY 41240
(859) 263-3900 - 418 Whirlaway Dr
Danville, KY 40422
(859) 263-3900
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Ophthalmology Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | |
| 2 | 152WL0500X | Eye and Vision Services Providers | Optometrist | 1689DT (KY) |
| 3 | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | (KY) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Clear Silver - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway 8500 for HSA - HMO
- Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway 5500 for HSA - HMO
- Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 2000 - PPO
- my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Silver 6000 - PPO
- Molina Bronze Enhanced 3500 - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision - HMO
- Molina Bronze Enhanced 3500 Plus with Adult Vision - HMO
- Molina Bronze Saver 7000 - HMO
- Molina Bronze Saver 7000 Plus with Adult Dental and Vision - HMO
- Molina Bronze Saver 7000 Plus with Adult Vision - HMO
- Molina Bronze Smart Heart Health - HMO
- Molina Bronze Standard - HMO
- Molina Gold Core 1640 - HMO
- Molina Gold Core 1640 Plus with Adult Dental and Vision - HMO
- Molina Gold Core 1640 Plus with Adult Vision - HMO
- Molina Gold Enhanced 895 - HMO
- Molina Gold Enhanced 895 Plus with Adult Dental and Vision - HMO
- Molina Gold Enhanced 895 Plus with Adult Vision - HMO
- Molina Gold Smart Heart Health - HMO
- Molina Gold Standard - HMO
- Molina Silver Core - HMO
- Molina Silver Core Plus with Adult Dental and Vision - HMO
- Molina Silver Core Plus with Adult Vision - HMO
- Molina Silver Saver with Four Free PCP Visits - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100871660 | MEDICAID (05) | KY | |
| 0730481 | MEDICAID (05) | OH | |
| 300037863 | MEDICAID (05) | IN | |
| 0007018000 | MEDICAID (05) | WV | |
| 201209490A | MEDICAID (05) | IN | |
| 7100856500 | MEDICAID (05) | KY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D1068560
- Facility Type
- Physician Office
- Certificate Effective Date
- May 16, 2025
- Certificate Expiration Date
- May 15, 2027
- Laboratory Director
- DR. THOMAS STONE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Retina And Vitreous Associates Of Kentucky Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1619949971, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 79 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
LEXINGTON, KY 40509
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619949971, enumerated as an "organization" on February 02, 2006.
The provider is located at 120 N EAGLE CREEK DR STE 500 LEXINGTON, KY 40509 and the phone number is (859) 263-3900.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
