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Organization
CASAK WOODHILL LLC
Active
Organization
CASAK WOODHILL LLC
Active
Other names
Pal Optical
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN AMBROSE KLECKER OD (MANAGING MEMBER)
(859) 266-3003
Entity
Organization
Contact information
Practice address
1555 E NEW CIRCLE RD, SUITE #146, LEXINGTON, KY 40509-1043
(859) 266-3003
(859) 266-9504
Mailing address
1555 E NEW CIRCLE RD, SUITE #146, LEXINGTON, KY 40509-1043
(859) 266-3003
(859) 266-9504
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
244184
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52800935
—
KY
Enumeration date
12/21/2006
Last updated
08/22/2020
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