| NPI | 1396856001 |
|---|---|
| Doing Business As | NEURO VISUAL REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM E LEADINGHAM Owner 606-329-8672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: KY 748-DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 748-DT) |
| 152W00000X Optometrist (Licence: KY 1659-DT) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-11-01 |