STEPHEN GBEJULE ODAIBO


Address: 120 N Eagle Creek Dr Ste 500, Lexington, KY 40509
Phone: 8592633900

STEPHEN GBEJULE ODAIBO (NPI# 1174840920) 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) 1174840920
Entity Type Individual
Full Name STEPHEN GBEJULE ODAIBO
Credential MD
Practice Address 120 N Eagle Creek Dr Ste 500
Lexington
KY 40509
Mailing Address 120 N Eagle Creek Dr Ste 500
Lexington
KY 40509-1827
Practice Telephone 8592633900
Practice Fax Number 8592633757
Mailing Telephone 8592633900
Mailing Fax Number 8592633757
Enumeration Date 2010-05-03
Last Update Date 2019-08-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology MD-42794 IA Allopathic & Osteopathic Physicians
Y 207WX0107X Ophthalmology
Specialization: Retina Specialist
52803 KY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100596590 05
IN 300025893 05
WV 1174840920 05
OH 0138707 05

Office Location

Street Address 120 N EAGLE CREEK DR STE 500
City LEXINGTON
State KY
Zip Code 40509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427054808 Miguel A Busquets Ophthalmology 120 N Eagle Creek Dr Ste 500, Lexington, KY 40509-1802 2005-06-22
1548647928 Osama Sabbagh Ophthalmology 120 N Eagle Creek Dr Ste 500, Lexington, KY 40509-1827 2015-05-05
1326304890 Shivani Varakantam Reddy Ophthalmology 120 N Eagle Creek Dr Ste 500, Lexington, KY 40509-1802 2012-04-09
1679570675 Jack Lynn Hollins Family Medicine 120 N Eagle Creek Dr Ste 500, Lexington, KY 40509 2005-07-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902453640 Grace T. Hallak Counselor 513 Darby Creek Rd, Lexington, KY 40509 2019-08-19
1932755774 Lexington-fayette Urban-county Health Department Public Health or Welfare 4801 Athens Boonesboro Rd, Lexington, KY 40509 2019-08-16
1497308266 Discover You Counseling LLC Social Worker 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 2019-07-22
1407323611 Trevor Douglas Mchardy Physician Assistant 101 North Eagle Creek Drive, Lexington, KY 40509 2018-10-25
1114413184 Megan Medrano Dietitian, Registered 163 Old Todds Rd Ste 115, Lexington, KY 40509 2018-07-02
1750884292 Active Medical LLC Durable Medical Equipment & Medical Supplies 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 2018-03-12
1699273599 Frederick Douglas High School Public Health or Welfare 2000 Winchester Rd, Lexington, KY 40509 2018-01-25
1710409370 Sleep Identity Pllc Clinic/Center 541 Darby Creek Road, Ste 190, Lexington, KY 40509 2017-07-14
1164956397 Danielle Anderson Family Medicine 24 Fountain Court, Suite 225, Lexington, KY 40509 2017-04-14
1356891782 Dawn Jones Physician Assistant 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 2016-10-10
Find all providers in zip 40509

Taxonomy Information

Taxonomy Code 207WX0107X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology
Specialization Retina Specialist

Taxonomy Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new]
- Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org.

Competitor

Search similar providers

City LEXINGTON
Zip Code 40509

Improve Information

Please comment or provide details below to improve the information on STEPHEN GBEJULE ODAIBO.

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.

Trending Searches