Individual
LAURA LEA BASSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7635 SHELBYVILLE RD, LOUISVILLE, KY 40222-5409
(502) 423-8500
(502) 584-2365
Mailing address
7635 SHELBYVILLE RD, LOUISVILLE, KY 40222-5409
(502) 423-8500
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
1397DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00850450
RR MEDICARE
—
Enumeration date
02/14/2006
Last updated
10/20/2010
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