| NPI | 1558690180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT L AVERY Owner 606-439-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1120DT) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 5556P) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2011-01-24 |