| NPI | 1689874885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NGOC C DO-BIZZELL Owner/President 502-222-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1582DTKY) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2024-07-24 |