Individual
BRYAN JUSTIN FIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3801 MALL RD, LEXINGTON, KY 40503-4466
(859) 278-5443
(859) 201-1040
Mailing address
3801 MALL RD, LEXINGTON, KY 40503-4466
(859) 595-7711
(859) 277-6332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2274DT
KY
Other
Enumeration date
05/01/2022
Last updated
11/05/2024
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