| Jeremy Carson Caylor, OD | |
|
1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 | |
| (800) 477-0055 | |
| Not Available |
| Full Name | Jeremy Carson Caylor |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1935 Bluegrass Ave Ste 200, Louisville, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881387314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18004395A (Indiana) | Secondary |
| 152W00000X | Optometrist | 2321DT (Kentucky) | Primary |
| Provider Name | Eye Centers Of Louisville,psc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659385508 PECOS PAC ID: 4789584921 Enrollment ID: O20040113000044 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Carson Caylor, OD 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 Ph: (502) 364-0033 | Jeremy Carson Caylor, OD 1935 Bluegrass Ave Ste 200, Louisville, KY 40215-1181 Ph: (800) 477-0055 |
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