| NPI | 1760484307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD R TAUSTINE President 502-458-9004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2018-11-19 |