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Individual

IAN M. CARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
581 DUDLEY PIKE, EDGEWOOD, KY 41017-3296
(859) 341-0888
(859) 341-3386
Mailing address
581 DUDLEY PIKE, EDGEWOOD, KY 41017-3296
(859) 341-0888
(859) 341-3386

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1725DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11769998
CAQH
Enumeration date
08/07/2007
Last updated
06/17/2014
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