| NPI | 1972696821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G ROCHE Optician/Owner 859-745-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: KY 495) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |