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DANIEL A EWEN MD
>> Ophthalmology >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1558428359
Individual Registrant: DANIEL A EWEN MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
2580 BYPASS ROAD WINCHESTER, KY 40392 US
Tel: 859-745-3060 Fax: 859-745-0885
Tel: 859-745-3060 Fax: 859-745-0885
Contact information for business:
PO BOX 4277 2580 BYPASS ROAD WINCHESTER, KY 40392-4277 US
Tel: 859-745-3060 Fax: 859-745-0885
Tel: 859-745-3060 Fax: 859-745-0885
Registration Information:
NPI: 1558428359
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 207W00000X | Allopathic & Osteopathic Physicians Ophthalmology | KY | 25190 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MEDICARE RAILROAD | 180022279 | 01 | |
| CHA HEATH | 611120291 | 01 | |
| BLUEGRASS HEALTHCARE ALLI | 611120291 | 01 | |
| ANTHEM | 000000048926 | 01 | |
| UNITED MINE WORKERS | 1450480 | 01 | |
| CHAMPUS | K010233 | 01 | |
| BCBS OF KY | 3406 | KY | 01 |
| HUMANA | 611120291 | 01 | |
| 64251903 | KY | 05 | |
| UNITED HEALTHCAR OF KY | 0800034 | 01 | |
| BLUEGRASS FAMILY HEALTH | C76082 | 01 | |
| AETNA | 5318116 | 01 |
