Individual
DR. ANDREW MORGAN HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12406 LA GRANGE RD STE 202, LOUISVILLE, KY 40245-1904
(502) 243-3733
(502) 243-3734
Mailing address
12406 LA GRANGE RD STE 202, LOUISVILLE, KY 40245-1904
(502) 243-3733
(502) 243-3734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1702DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003080656
NPI
KY
01
—
1790018034
GROUP NPI
KY
05
—
7100041380
—
KY
01
—
7100100120
GROUP MEDICAID
KY
01
—
P00920357
RR MEDICARE
KY
Enumeration date
04/15/2008
Last updated
02/22/2024
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