| NPI | 1699726497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDREW DURANT Owner Operator 606-877-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1345dt) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |