| NPI | 1043487515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH BASTIN O PT Ometrist 270-886-2293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1164 DT) |
| Enumeration Date | 2008-05-13 |
| Last Update Date | 2008-06-19 |