| NPI | 1245091503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AARON IHNEN Physician 502-896-5750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |