BLUEGRASS EYE SURGERY PSC


Address: 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377
Phone: 2706920047

BLUEGRASS EYE SURGERY PSC (NPI# 1073799268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073799268
Entity Type Organization
Organization Name BLUEGRASS EYE SURGERY PSC
Practice Address 325 W Walnut St
Suite 400
Lebanon
KY 40033-1377
Practice Telephone 2706920047
Practice Fax Number 2706920219
Mailing Telephone 2706920047
Mailing Fax Number 2706920219
Enumeration Date 2008-01-17
Last Update Date 2010-11-02
Authorized Official Name GARY N WORTZ (OWNER)
Authorized Official Telephone 2706920047
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 40650 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY ANTHEM 000000571982 01

Office Location

Street Address 325 W WALNUT ST
SUITE 400
City LEBANON
State KY
Zip Code 40033-1377

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891798336 Francis W Southall Jr Pharmacy 325 W Walnut St, Ste 500, Lebanon, KY 40033 2005-05-28
1437614120 Savannah Marie King Nurse Practitioner 325 W Walnut St, Lebanon, KY 40033-1377 2019-02-06
1962863407 Jody Coomer Nurse Practitioner 325 W Walnut St, Ste. 600, Lebanon, KY 40033-1377 2016-03-11
1972983559 Amy Wheatley Nurse Practitioner 325 W Walnut St, Ste 600, Lebanon, KY 40033-1377 2015-06-09
1093156929 Monica B Strenecky Nurse Practitioner 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 2013-07-08
1932410958 Laura L Mccain Nurse Practitioner 325 W Walnut St, Suite 600, Lebanon, KY 40033-1377 2010-06-24
1316263304 Daniel V. Hunt, Md., P.s.c. Orthopaedic Surgery 325 W Walnut St, Suite 100, Lebanon, KY 40033-1377 2010-04-15
1285969055 Amanda M Ballard Optometrist 325 W Walnut St, Ste400, Lebanon, KY 40033-1377 2009-10-12
1497871859 Southall Pharmacy Pllc Durable Medical Equipment & Medical Supplies 325 W Walnut St, Suite 500, Lebanon, KY 40033-1377 2007-03-21
1710055041 Gary Nathanael Wortz Ophthalmology 325 W Walnut St, Suite 400, Lebanon, KY 40033-1377 2006-12-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538636311 One Cross Health Clinic, Inc. Clinic/Center 305 Koehler Drive, Lebanon, KY 40033 2018-10-30
1467848952 Kelly Renee Deatley Family Medicine 325 W Walnut St Ste 600, Lebanon, KY 40033 2015-04-10
1003204892 Mmhh, LLC Clinic/Center 135 E. Martin Luther King Ave., Lebanon, KY 40033 2014-12-31
1194964510 Gregory W. Schall, Do, Pllc Family Medicine 312 W High Street, Lebanon, KY 40033 2009-02-09
1780859553 Wal-mart Stores East, Lp Eyewear Supplier (Equipment, not the service) 2136 Campbellsville Road, Lebanon, KY 40033 2008-04-23
1144491234 William Duley IIi Dentist 219 West Main St, Lebanon, KY 40033 2008-03-17
1891965927 Dana Michelle Logsdon Nurse Practitioner 727 W. Main St., Lebanon, KY 40033 2008-03-05
1669523684 The Childrens Clinic, Pllc. Pediatrics 420 Loretta Road, Lebanon, KY 40033 2007-01-16
1215022348 Marion County Anesthesia Associates Pllc Nurse Anesthetist, Certified Registered 320 Loretto Road, Lebanon, KY 40033 2006-10-04
1568479426 Daniel Earl Bailey Jr. Specialist 420 Loretto Rd, Suite 600, Lebanon, KY 40033 2006-08-02
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy 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.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487098927 Christine Ann Rust Ophthalmology 1670 West Main St, Suite 100, Lebanon, TN 37087 2013-04-27
1881932432 Lyle Moses Ophthalmology 19 Old Kings Hwy, Lebanon, NH 03766-2742 2013-01-16
1124158795 David L Streisfeld Md PC Ophthalmology 834 Norman Drive, Lebanon, PA 17042 2007-03-06
1376609958 Aaron Dent Ophthalmology 515 Cowan Dr, Lebanon, MO 65536-4604 2006-12-28
1437246824 Arthur W Walsh Ophthalmology 56 Bank St, Lebanon, NH 03766 2006-10-06
1376597534 Patrick J. Morhun, Md, Professional Corporation Ophthalmology 6 S Park St, Lebanon, NH 03766-1326 2006-05-20
1144273210 Albert A Alley Ophthalmology 1510 Cornwall Road, Lebanon, PA 17042 2006-05-18
1366435174 David L Streisfeld Ophthalmology 834 Norman Dr, Lebanon, PA 17042 2005-08-26
1740273952 James William Bush Ophthalmology 770 Norman Dr, Lebanon, PA 17042-7495 2005-08-24
1609874320 F Kirk Bowles Ophthalmology 1670 W Main St, Ste 100, Lebanon, TN 37087-1344 2005-07-07
Find all providers in LEBANON

Competitor

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City LEBANON
Zip Code 40033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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