| NPI | 1952584542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JEFFERY FIELDS President 859-625-0042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: KY 1315DT) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2007-12-06 |