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Organization
KENTUCKY OPTICAL EXPRESS, INC.
Active
Organization
KENTUCKY OPTICAL EXPRESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE BULLARD GUERRANT JR. O.D. (PRESIDENT AND CEO)
(888) 497-2117
Entity
Organization
Contact information
Practice address
122 STONE TRACE DRIVE, SUITE B, MOUNT STERLING, KY 40353
(888) 497-2117
(859) 497-2542
Mailing address
122 STONE TRACE DR., SUITE B, MOUNT STERLING, KY 40353-5242
(888) 497-2117
(859) 497-2542
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
NULL
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/28/2008
Last updated
03/19/2009
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