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Organization
FAMILYLIFE VISION CARE, PSC
Active
Organization
FAMILYLIFE VISION CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J. GARBIG O.D. (DOCTOR)
(859) 441-3400
Entity
Organization
Contact information
Practice address
2816 BLUEGRASS DR STE A, HIGHLAND HEIGHTS, KY 41076-1589
(859) 441-3400
(859) 572-4822
Mailing address
2816 BLUEGRASS DR STE A, HIGHLAND HEIGHTS, KY 41076-1589
(859) 441-3400
(859) 572-4822
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1108DT
KY
152WV0400X
Vision Therapy Optometrist
1196DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10654348379
HUMANA
KY
01
—
2324352
AETNA
KY
01
—
CG7465
RR MEDICARE GROUP
KY
Enumeration date
11/07/2006
Last updated
05/30/2008
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