Organization
DISTLER, HUNTINGTON & BLAIR, PSC
Active
Other names
Bluegrass Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE YATES (OFFICE MANAGER)
(502) 243-2257
Entity
Organization
Contact information
Practice address
6400 WESTWIND WAY, CRESTWOOD, KY 40014-6773
(502) 243-2257
Mailing address
6400 WESTWIND WAY, CRESTWOOD, KY 40014-6773
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6591783300
—
KY
Enumeration date
05/21/2010
Last updated
08/26/2013
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