| NPI | 1619304581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY L CREECH Owner 859-987-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: KY 799dt) |
| Enumeration Date | 2013-10-08 |
| Last Update Date | 2013-10-08 |