Individual
TODD F LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5338 S 3RD ST, LOUISVILLE, KY 40214-2675
(502) 366-4530
(502) 366-4590
Mailing address
5338 S 3RD ST, LOUISVILLE, KY 40214-2675
(502) 366-4530
(502) 366-4590
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1184DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011849
—
KY
Enumeration date
09/06/2005
Last updated
10/01/2013
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