Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bluegrass Eyecare Center, PLLC

Organization Optometrist · NPI 1063680304

Bluegrass Eyecare Center, PLLC is an Optometrist in Lexington, Kentucky. Licensed in Kentucky. Registered with an NPI since 2008.

Licensed in
KY
In the registry since
2008
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

715 Shaker Dr Ste 120
Lexington, KY 40504-3674
Phone: (859) 278-8443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 21381 (KY)
Optometrist Taxonomy 152W00000X

Record details

NPI number1063680304
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official W Douglas Back — Secretary/Member · (859) 278-8443
NPI enumeratedFebruary 20, 2008
Last updated in NPPESSeptember 8, 2008
Mailing address715 Shaker Dr, Suite 120, Lexington, KY 40504-3674

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