Anupa Mandava (NPI# 1710257316, PAC ID# 9830419266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1710257316 |
| PAC ID by PECOS | 9830419266 |
| Professional Enrollment ID | I20171023001767 |
| Full Name | Anupa Mandava |
| Organization Legal Name | EYE CENTERS OF LOUISVILLE PSC |
| Address |
6400 Westwind Way Crestwood KY 40014-6773 |
| Phone Number | 5022432227 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4789584921 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180088 | NORTON HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 309 11th St, Carrollton, KY 41008-1435 | 5027320066 | EYE CENTERS OF LOUISVILLE PSC |
| 6400 Westwind Way, Crestwood, KY 40014-6773 | 5022432227 | EYE CENTERS OF LOUISVILLE PSC |
| 95 Quartermaster Ct, Jeffersonville, IN 47130-3623 | 8122840077 | EYE CENTERS OF LOUISVILLE PSC |
| Organization Legal Name | EYE CENTERS OF LOUISVILLE PSC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Robert Tenkman | Ophthalmology | Eye Centers of Louisville Psc | 95 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Donald W Bennett | Ophthalmology | Eye Centers of Louisville Psc | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 |
| Nikolaos C Zagorianos | Optometry | Eye Centers of Louisville Psc | 95 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Keith R Slayden | Optometry | Eye Centers of Louisville Psc | 4010 Dupont Cir, Suite 380, Louisville, KY 40207-4881 |
| Steven Mark Bloom | Ophthalmology | Eye Centers of Louisville Psc | 309 11th St, Carrollton, KY 41008-1435 |
| Aparna S Patel | Ophthalmology | Eye Centers of Louisville Psc | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 |
| Bryan Matthew Blair | Ophthalmology | Eye Centers of Louisville Psc | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 |
| Fraser D Mckay | Optometry | Eye Centers of Louisville Psc | 95 Quartermaster Ct, Jeffersonville, IN 47130-3623 |
| Janelle Marie Fassbender Adeniran | Ophthalmology | Eye Centers of Louisville Psc | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 |
| Meredith B Lanham | Optometry | Eye Centers of Louisville Psc | 1935 Bluegrass Ave, Suite 200, Louisville, KY 40215-1179 |
| Street Address |
6400 WESTWIND WAY |
| City | CRESTWOOD |
| State | KY |
| Zip | 40014-6773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jasen T Pedersen | Podiatry | 6400 Westwind Way, Suite B, Crestwood, KY 40014-6773 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathy J Pansegrau | Chiropractic | 6402 Westwind Way, Suite 5, Crestwood, KY 40014-6772 | |
| Julia Elizabeth Pennington | Nurse Practitioner | Positive Connections, Pllc | 6813 W Hwy 22, Crestwood, KY 40014-7007 |
| Elizabeth Behr Runyon | Certified Clinical Nurse Specialist (cns) | Positive Connections, Pllc | 6813 W Hwy 22, Crestwood, KY 40014-7007 |
| Alan R Gould | Oral Surgery | 5805 W Hwy 22, Crestwood, KY 40014-7244 | |
| Sarah E Gold | Physical Therapy | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Susanna Stralina | Physical Therapy | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Alicia D Nay | Physical Therapy | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Amy N Head | Nurse Practitioner | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Zorre Zeno Kimura | Physical Therapy | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Michael A Punnett | Family Medicine | Baptist Health Medical Group Inc | 6580 Kenwood Crossing Rd, Crestwood, KY 40014-7614 |
| Find all physicians in zip 40014 | |||
| City | CRESTWOOD |
| Zip Code | 40014 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CRESTWOOD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Anupa Mandava.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.