Louisville Optometric Centers, Iii Psc

NPI 1033267091 - Optometrist - 152W00000X

NPI Details
NPI 1033267091
Enumeration Date 01/08/2007
Last Updated 11/30/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ROD L. ROD
Position OWNER
Phone (270) 287-2020
Fax (270) 259-5660
Practice Location
2525 ELIZABETHTOWN RD
LEITCHFIELD KY, 42754-9120, US
Phone (270) 287-2020
Fax (270) 259-5660
Business Location
4000 POPLAR LEVEL RD
LOUISVILLE KY, 40213-1524, US
Phone (502) 459-2020
Fax (270) 259-5660
Toxanomy
Taxonomy Code 152W00000X
License State Kentucky
License Number 1450DT
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According to our database, Louisville Optometric Centers, Iii Psc NPI is 1033267091, taxonomy code is 152W00000X and license number is 1450DT, license state is located at Kentucky. Louisville Optometric Centers, Iii Psc physically located at 2525 Elizabethtown Rd, Leitchfield KY, 42754-9120. NPI Number 1033115704 has the healthcare provider type.

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1033267091 NPI number is provided on an as is basis without warranty of any kind. 1033267091 is maintained by the National Plan & Provider Enumeration System. The contents of Louisville Optometric Centers, Iii Psc are for informational purposes only.