| NPI | 1821268392 |
|---|---|
| Doing Business As | EDGEWOOD EYE CENTER |
| Entity Type | Organization |
| Authorized Contact | SHEILA J KING Manager/Optician 859-341-0888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1134DT) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: KY 1134DT) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2016-06-28 |