| NPI | 1487854261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY S VALLANCE Insurance COO Rdinator 606-329-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: KY 18044) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2008-06-24 |