| NPI | 1043640352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW L. DUGGER O PT Ometrist/Owner 502-267-8261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1740DT) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2014-03-21 |