Individual
MICHAEL A MILBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD PSC
Contact information
Practice address
3180 RICHMOND RD, LEXINGTON, KY 40509-1596
(859) 269-0040
Mailing address
PO BOX 24635, LEXINGTON, KY 40524-4635
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY 932 DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000321715
ANTHEM BCBS
KY
01
—
35630
AVESIS
KY
01
—
42415
SPECTERA
KY
01
—
5660
CHA
KY
05
—
77009322
—
KY
01
—
T54651
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
01/29/2007
Last updated
07/08/2007
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