| |
102 Diagnostic Dr, Frankfort, KY 40601-6524 | |
(502) 223-8258 | |
(502) 875-9481 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 102 Diagnostic Dr, Frankfort, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639365224 | NPI | - | NPPES |
65936981 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1626DT (Kentucky) | Secondary |
207W00000X | Ophthalmology | 20615 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Po Box 4265, Frankfort, KY 40604-4265 Ph: (502) 223-8258 | 102 Diagnostic Dr, Frankfort, KY 40601-6524 Ph: (502) 223-8258 |