M.D. Jack Lynn Hollins, NPI 1679570675
Retina Specialist (Ophthalmology) Physician in Lexington, KY, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1679570675 |
| NPI Entity Type | Individual |
| Provider Name | M.D. Jack Lynn Hollins |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 120 N Eagle Creek Dr Ste 500, Lexington, KY, US |
| Provider Mailing Address | 120 N Eagle Creek Dr Ste 500, Lexington, KY, US, 405091827 |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Retina Specialist (Ophthalmology) Physician |
| Classification | |
| Group | |
| License No. | 17380 |
| License State | KY |
| Description | An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 17380 | KY | No | |||
| 17380 | KY | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 1679570675 | WV | MEDICAID | 05 |
| 000000048591 | KY | ANTHEM PROVIDER NUMBER | 01 |
| 0685503 | OH | MEDICAID | 05 |
| 64173800 | KY | MEDICAID | 05 |
| 611246763 | KY | TAX ID | 01 |
| 300027596 | IN | MEDICAID | 05 |
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