| NPI | 1841681400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SEAN JACOB Owner/Optometrist 859-824-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1458DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1452DT) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |