| NPI | 1962615419 |
|---|---|
| Doing Business As | SHELBYVILLE VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALAN PARKER Member 502-633-7310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 1572DT) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |