NPI | 1093985897 |
---|---|
Former Legal Business Name | FIONA C SLONE, OD PSC |
Entity Type | Organization |
Authorized Contact | FIONA S BOAK Optometrist 502-326-3114 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1423dt) |
Enumeration Date | 2008-03-07 |
Last Update Date | 2013-11-21 |