# KENTUCKY OPTICAL EXPRESS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679745756
- **Authorized official:** DR. WALLACE BULLARD GUERRANT JR. O.D. (PRESIDENT AND CEO)
- **Authorized official phone:** (888) 497-2117

## Contact information

- **Practice address:** 122 STONE TRACE DRIVE, SUITE B, MOUNT STERLING, KY 40353
- **Practice address phone:** (888) 497-2117
- **Practice address fax:** (859) 497-2542
- **Mailing address:** 122 STONE TRACE DR., SUITE B, MOUNT STERLING, KY 40353-5242
- **Mailing address phone:** (888) 497-2117
- **Mailing address fax:** (859) 497-2542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 03/28/2008
- **Last updated:** 03/19/2009