| NPI | 1770649188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES D HECK Partner 270-683-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 945DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 763DT) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2016-07-26 |