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Individual

DR. MOLLY WEST DOERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1800 OLD LEBANON RD., EYE INSTITUTE OF KENTUCKY, CAMPBELLSVILLE, KY 42718
(270) 789-2023
(270) 465-5361
Mailing address
1800 OLD LEBANON RD., EYE INSTITUTE OF KENTUCKY, CAMPBELLSVILLE, KY 42718
(270) 789-2023
(270) 465-5361

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
0872DT
KY
152WP0200X
Pediatric Optometrist
Primary
872DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00000000049084
ANTHEM
01
0178520001
PALMETTO GBA
01
15300
ALTERNATIVE HEALTH
01
32055
DAVIS VISION
01
375807
CLARITY VISION
01
410012251
RAILROAD MEDICARE
01
45001526
EPSDT MEDICAID KY
01
4643655
AETNA
01
5025326332
VISION SERVICE PLAN
01
611139709
UNITED HEALTH CARE
01
611139709A
HUMANA
05
77008720
KY
01
911199
BLOCK VISION
01
KY0872
EYE MED VISION CARE
01
MD17067
SPECTERA
01
VF19372
VISION CARE ADVANTAGE
Enumeration date
11/10/2005
Last updated
11/11/2020
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