| NPI | 1669879151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE C BARBERY Administrator 859-344-2062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 152W00000X Optometrist | |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2016-03-30 |