| NPI | 1881710713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED RICHARDSON Owner 859-278-4201 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-05-16 |