Organization
CNETRAL KENTUCKY OPTCIALCO., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNN M ROGERS OPTICIAN (PRESIDENT)
(502) 223-2020
Entity
Organization
Contact information
Practice address
625 LEAWOOD DR, FRANKFORT, KY 40601-4409
(502) 223-2020
(502) 223-0185
Mailing address
625 LEAWOOD DR, FRANKFORT, KY 40601-4409
(502) 223-2020
(502) 223-0185
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
837
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52908373
—
KY
Enumeration date
04/02/2007
Last updated
08/06/2008
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