| NPI | 1346436888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T REYNOLDS Owner 859-623-3358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1545DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1644DT) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-11-07 |