| NPI | 1538158860 |
|---|---|
| Professional Name | CAROL LYNN DEITZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1134DT) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: KY 1134DT) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2009-06-29 |