| |
9501 Taylorsville Rd Ste 106, Jeffersontown, KY 40299-2752 | |
(502) 499-2020 | |
(502) 499-6747 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 9501 Taylorsville Rd Ste 106, Jeffersontown, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851543656 | NPI | - | NPPES |
77010718 | Medicaid | KY | |
77901775 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1071DT (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
9501 Taylorsville Rd Ste 106, Jeffersontown, KY 40299-2752 Ph: (502) 499-2020 | 9501 Taylorsville Rd Ste 106, Jeffersontown, KY 40299-2752 Ph: (502) 499-2020 |
Partners In Eyecare, Psc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1401 Alliant Ave, Jeffersontown, KY 40299 Phone: 502-267-6567 Fax: 502-267-0055 |