| NPI | 1841657947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF M CAUDILL Assistant Dean For Clinical Affrair 606-218-5528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1341) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2019-01-29 |