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RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
NPI 1619949971
Ophthalmology - Retina Specialist in Lexington, KY

Active since February 02, 2006CLIA 18D1068560 · Waiver
120 N EAGLE CREEK DR, STE 500, LEXINGTON, KY 40509(859) 263-3900(859) 263-3757 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2025, Oct 11, 2023, May 23, 2023 and 13 more (16 updates tracked since 2016).

About Retina And Vitreous Associates Of Kentucky Pllc NPPES

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

RETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC (NPI 1619949971), doing business as Retina Associates Of Kentucky, is a healthcare organization registered as a retina specialist in Lexington, Kentucky and active in the NPI registry since February 2006. The organization holds a CLIA Waiver certificate valid through May 15, 2027, maintains 9 additional practice locations, and lists Joseph Pravoot Gira, Owner, as its authorized official.

NPPES Registry Identity

NPI1619949971
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameRETINA AND VITREOUS ASSOCIATES OF KENTUCKY PLLC
Location Address120 N EAGLE CREEK DR, STE 500Lexington, KY 40509-1827
Mailing Address120 N Eagle Creek Dr Ste 500Lexington, KY 40509-1827 · (859) 263-3900 · Fax (859) 263-3757
Phone(859) 263-3900
Fax(859) 263-3757
Organization SubpartNo
Authorized OfficialJoseph Pravoot GiraOwner · (314) 909-0633
Enumeration DateFebruary 2, 2006
Last NPPES UpdateNovember 11, 202516 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1619949971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOptometristTaxonomy 152W00000X
Also ListedOptometrist · Low Vision RehabilitationTaxonomy 152WL0500X · License 1689DT (KY)
Also ListedOphthalmologyTaxonomy 207W00000X
120 N EAGLE CREEK DR, Lexington, KY 40509
Open in Google Maps ↗

Other Names 1

Doing Business AsRetina Associates Of Kentucky

Secondary Practice Locations 9

Location 1713 Broadway St Ste 201Paintsville, KY 41240-1612 · Phone (859) 263-3900 · Fax (859) 263-3757
Location 21700 Winchester AveAshland, KY 41101-7649 · Phone (859) 263-3900 · Fax (859) 263-3757
Location 3315 Leonardwood Rd Ste 4Frankfort, KY 40601-6532 · Phone (859) 263-3900 · Fax (859) 263-3757
Location 4120 N Eagle Creek Dr Ste 440Lexington, KY 40509-1827 · Phone (859) 263-3900 · Fax (859) 263-3757
Location 5418 Whirlaway DrDanville, KY 40422-9037 · Phone (859) 263-3900 · Fax (859) 263-3757
Location 6850 Hail Knob Rd Ste ASomerset, KY 42503-3418 · Phone (859) 263-3900 · Fax (859) 263-3757
Location 773 QUARTERMASTER CTJEFFERSONVILLE, IN 47130-3623 · Phone (859) 263-3900
Location 82935 Dolphin Dr Bldg 300Elizabethtown, KY 42701-4111 · Phone (859) 263-3900 · Fax (859) 745-0836
Location 96450 Dutchmans PkwyLouisville, KY 40205-3338 · Phone (859) 744-0263 · Fax (859) 745-0836

Other Identifiers 6

Medicaid7100871660KY
Medicaid0730481OH
Medicaid300037863IN
Medicaid0007018000WV
Medicaid201209490AIN
Medicaid7100856500KY

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Retina And Vitreous Associates Of Kentucky Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Retina And Vitreous Associates Of Kentucky PLLC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Ophthalmology15
Optometry1

Clinicians, nearest first (16)

Miguel Busquets, M.D.
Ophthalmology
NPI 1427054808
120 N EAGLE CREEK DR STE 500
Lexington, KY 40509
(859) 263-3900
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Powell
Ophthalmology
NPI 1932841160
120 N EAGLE CREEK DR STE 500
Lexington, KY 40509
(859) 263-3900
✔ PECOS✔ Accepts MedicareSame address
Jack Hollins, M.D.
Ophthalmology
NPI 1679570675
120 N EAGLE CREEK DR STE 500
Lexington, KY 40509
(859) 263-3900
✔ PECOS✔ Accepts MedicareSame address
John Kitchens, M.D.
Ophthalmology
NPI 1972503993
120 N EAGLE CREEK DR STE 500
Lexington, KY 40509
(859) 263-3900
✔ PECOS✔ Accepts MedicareSame address
Todd Purkiss, M.D., PH.D.
Ophthalmology
NPI 1942347703
120 N EAGLE CREEK DR STE 500
Lexington, KY 40509
(859) 263-3900
✔ PECOS✔ Accepts MedicareSame address
Aaron Ricca, M.D.
Ophthalmology
NPI 1801274295
120 N EAGLE CREEK DR STE 500
Lexington, KY 40509
(859) 263-3900
✔ PECOS✔ Accepts MedicareSame address
Blake Isernhagen, MD
Ophthalmology
NPI 1336469444
120 N EAGLE CREEK DR STE 500
Lexington, KY 40509
(859) 263-3900
✔ PECOS✔ Accepts MedicareSame address
Belinda Shirkey, M.D.
Ophthalmology
NPI 1275574287
120 N EAGLE CREEK DR STE 500
Lexington, KY 40509
(859) 263-3900
✔ PECOS✔ Accepts MedicareSame address
Nicholas Fowler, MD
Ophthalmology
NPI 1861079337
110 CONN TER STE 550
Lexington, KY 40508
(859) 323-5867
✔ PECOS✔ Accepts Medicare4.5 mi
Matthew Pfannenstiel, MD
Ophthalmology
NPI 1144807314
110 CONN TER STE 550
Lexington, KY 40508
(859) 323-5867
✔ PECOS✔ Accepts Medicare4.5 mi
Paras Vora, MD
Ophthalmology
NPI 1336778570
110 CONN TER STE 550
Lexington, KY 40508
(859) 323-5867
✔ PECOS✔ Accepts Medicare4.5 mi
Thomas Stone, M.D.
Ophthalmology
NPI 1528064219
6450 DUTCHMANS PKWY
Louisville, KY 40205
(859) 263-3900
✔ PECOS✔ Accepts Medicare67 mi
Sara Lemay, OD
Optometry
NPI 1851689699
1700 WINCHESTER AVE
Ashland, KY 41101
(859) 263-3900
✔ PECOS✔ Accepts Medicare103 mi
Waldemar Torres-Carlo, MD
Ophthalmology
NPI 1275528051
3530 HOUMA BLVD STE 203
Metairie, LA 70006
(504) 887-7660
✔ PECOS✔ Accepts Medicare642 mi
Abdullah Abou-Samra, MD
Ophthalmology
NPI 1134757479
20525 AMBERFIELD DR UNIT 101
Land O Lakes, FL 34638
(813) 921-8815
✔ PECOS✔ Accepts Medicare685 mi
Mikelson Mompremier, M.D.,F.A.C.S.
Ophthalmology
NPI 1578706396
1510 N HAMPTON RD SUITE 290
Desoto, TX 75115
(469) 687-5664
✔ PECOS✔ Accepts Medicare793 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 18D1068560

Retina And Vitreous Associates Of Kentucky, PLLC · Lexington, KY
Active · expires May 15, 2027
CLIA Number18D1068560
Laboratory TypePhysician Office
Certificate Effective DateMay 16, 2025
Certificate Expiration DateMay 15, 2027
Laboratory DirectorDr. Thomas Stone
Laboratory Phone(859) 263-3900
Laboratory LocationRetina And Vitreous Associates Of Kentucky, PLLC120 North Eagle Creek Drive, Suite 500, Lexington, KY 40509
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Retina And Vitreous Associates Of Kentucky PLLC's NPI number?

The NPI number for Retina And Vitreous Associates Of Kentucky PLLC is 1619949971. It was assigned to this organization in the NPPES registry on February 2, 2006. The provider is doing business as Retina Associates of Kentucky.

Where is Retina And Vitreous Associates Of Kentucky PLLC located?

Retina And Vitreous Associates Of Kentucky PLLC is located at 120 N Eagle Creek Dr Ste 500, Lexington, KY 40509. The listed phone number is (859) 263-3900.

What is Retina And Vitreous Associates Of Kentucky PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Retina And Vitreous Associates Of Kentucky PLLC enrolled in Medicare?

Yes. Retina And Vitreous Associates Of Kentucky PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina And Vitreous Associates Of Kentucky PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 2 Medicare specialties reassign their Medicare billing to Retina And Vitreous Associates Of Kentucky PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (15) and Optometry (1). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Retina And Vitreous Associates Of Kentucky PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D1068560) is associated with this NPI, valid through May 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Retina And Vitreous Associates Of Kentucky PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 3 other insurers list Retina And Vitreous Associates Of Kentucky 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 Retina And Vitreous Associates Of Kentucky PLLC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.