Provider Demographics
NPI:1871568527
Name:OPHTHALMOLOGY ASSOCIATES, PSC
Entity type:Organization
Organization Name:OPHTHALMOLOGY ASSOCIATES, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPUY
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:502-897-9881
Mailing Address - Street 1:3810 SPRINGHURST BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40241-6162
Mailing Address - Country:US
Mailing Address - Phone:502-897-9881
Mailing Address - Fax:502-897-9824
Practice Address - Street 1:3810 SPRINGHURST BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40241-6162
Practice Address - Country:US
Practice Address - Phone:502-897-9881
Practice Address - Fax:502-897-9824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1871568527Medicaid
KY5752Medicare PIN