Individual
DAVID THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
108 BRAVO BLVD, GLASGOW, KY 42141-3412
(270) 651-2181
(270) 651-2183
Mailing address
108 BRAVO BLVD, GLASGOW, KY 42141-3412
(270) 651-2181
(270) 651-2183
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
110343
KY
Other
Enumeration date
01/24/2017
Last updated
01/24/2017
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