Individual
DR. BETH ANNE MINTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-5925
Mailing address
4000 POPLAR LEVEL RD, LOUISVILLE, KY 40213-1524
(502) 459-2020
(502) 456-5925
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
U92035
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350785
ANTHEM BCBS
KY
01
—
000000351953
ANTHEM BCBS
KY
01
—
1551DT
OD LICENSE NUMBER
KY
05
—
77000636
—
KY
01
—
P00609333
RR MEDICARE
KY
Enumeration date
08/16/2005
Last updated
02/19/2014
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