| NPI | 1225360159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACALYN C BARBERY Administrator 859-344-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 156FX1800X Technician/Technologist Optician |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2016-03-14 |