# M.D. OPTIQUE, INC

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

## Provider details

- **NPI number:** 1801939863
- **Authorized official:** MS. MARY DENISE FRIDENMAKER OPTICIAN (OWNER)
- **Authorized official phone:** (859) 278-5443

## Contact information

- **Practice address:** 3801 MALL ROAD, SUITE 115, LEXINGTON, KY 40503
- **Practice address phone:** (859) 278-5443
- **Practice address fax:** (859) 277-6332
- **Mailing address:** 3801 MALL ROAD, SUITE 115, LEXINGTON, KY 40503
- **Mailing address phone:** (859) 278-5443
- **Mailing address fax:** (859) 277-6332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | KY 1309 | KY | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 04/17/2015