Individual
CAMERON TYLER QUIMBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 WALMART DR, ELIZABETHTOWN, KY 42701-5548
(270) 763-0414
(270) 763-0413
Mailing address
100 WALMART DR, ELIZABETHTOWN, KY 42701-5548
(270) 763-0414
(270) 763-0413
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
300954
KY
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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