20 20 Eyecare, Psc

NPI 1366489189 - Optometrist - 152W00000X

NPI Details
NPI 1366489189
Enumeration Date 06/01/2006
Last Updated 04/11/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KEVIN KEVIN
Position PRESIDENT
Phone (502) 955-2020
Fax (502) 736-4490
Practice Location
544 CONESTOGA PARKWAY
SUITE 17
SHEPHERDSVILLE KY, 40165-6081, US
Phone (502) 955-2020
Fax (502) 736-4490
Business Location
5855 RELIABLE PKWY
CHICAGO IL, 60686-0058, US
Phone (502) 955-2020
Fax (502) 736-4490
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, 20 20 Eyecare, Psc NPI is 1366489189, taxonomy code is 152W00000X 20 20 Eyecare, Psc physically located at 544 Conestoga Parkway, Shepherdsville KY, 40165-6081. NPI Number 1033115704 has the healthcare provider type.

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1366489189 NPI number is provided on an as is basis without warranty of any kind. 1366489189 is maintained by the National Plan & Provider Enumeration System. The contents of 20 20 Eyecare, Psc are for informational purposes only.