# JOHN G ROCHE OPTICIANS INC

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

## Provider details

- **NPI number:** 1972696821
- **Authorized official:** MR. JOHN G ROCHE OPTICIAN (OPTICIAN/OWNER)
- **Authorized official phone:** (859) 745-1400

## Contact information

- **Practice address:** 2560 BYPASS RD, WINCHESTER, KY 40391-2387
- **Practice address phone:** (859) 745-1400
- **Practice address fax:** (859) 744-1454
- **Mailing address:** PO BOX 4255, WINCHESTER, KY 40392-4255
- **Mailing address phone:** (859) 745-1400
- **Mailing address fax:** (859) 744-1454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | 495 | KY | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000193514 | BC/BS PROVIDER NUMBER | KY |
| 01 | — | KY0495 | EYEMED PROVIDER ID | KY |