| NPI | 1730373044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA POWELL Insurance Specialist 270-259-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY KY1450DT) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-10-20 |