| NPI | 1043410822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY S VALLANCE Billing Coordinator 606-329-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: KY 41013) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-12-03 |