| NPI | 1225107014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE FERGUSON Surgical Director 859-224-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: KY 300137) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-03-24 |