Organization
CARL W. SYDNOR
Active
Other names
Brandenburg Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
CARL W SYDNOR O.D. (OWNER)
(270) 422-4241
Entity
Organization
Contact information
Practice address
732 HIGH ST, BRANDENBURG, KY 40108-1234
(270) 422-4241
(270) 422-5211
Mailing address
732 HIGH ST, BRANDENBURG, KY 40108-1234
(270) 422-4241
(270) 422-5211
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1192-DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011922
—
KY
Enumeration date
06/26/2007
Last updated
06/13/2008
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