Individual
ELLEN TALBOTT VAN NORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
110 CONN TER STE 550, LEXINGTON, KY 40508-3206
(859) 323-5867
(859) 323-8510
Mailing address
2920 GLENDALE MILFORD RD STE 220, CINCINNATI, OH 45241-3131
(513) 922-9000
(513) 922-4050
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
6581
OH
152WP0200X
Pediatric Optometrist
Primary
2103DT
KY
Other
Enumeration date
07/17/2017
Last updated
11/16/2021
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