| NPI | 1487397378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI DOOLIN Billing/Credentialing Manager 859-338-8590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332H00000X Eyewear Supplier | |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-11-15 |