| Gary Wilbur Vickers, OD | |
|
3301 Mount Shasta Way, Louisville, KY 40241-6213 | |
| (502) 425-5839 | |
| Not Available |
| Full Name | Gary Wilbur Vickers |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3301 Mount Shasta Way, Louisville, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912986266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 775DT (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Wilbur Vickers, OD 3301 Mount Shasta Way, Louisville, KY 40241-6213 Ph: (502) 425-5839 | Gary Wilbur Vickers, OD 3301 Mount Shasta Way, Louisville, KY 40241-6213 Ph: (502) 425-5839 |
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