| NPI | 1003908849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PAUL PECK President Optician 859-276-2573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: KY 314) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |