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

Louisville Retina PLLC

Organization Ophthalmology Physician · NPI 1215691308

Louisville Retina PLLC is an Ophthalmology Physician in Louisville, Kentucky. Registered with an NPI since 2021.

In the registry since
2021
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

1169 Eastern Pkwy Ste 3323
Louisville, KY 40217-1415
Phone: (718) 300-1540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1215691308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anupa Mandava — Md · (718) 300-1540
NPI enumeratedOctober 26, 2021
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing address1169 Eastern Pkwy Ste 3323, Louisville, KY 40217-1415

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