| NPI | 1669800710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKISHA S MAGGARD Managing Optometrist 859-967-7806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1696DT) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-11-15 |