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Individual

DR. JOHN MICHAEL SODERLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
136 E MAIN CROSS ST, GREENVILLE, KY 42345-1576
(270) 338-9636
(270) 338-9639
Mailing address
136 E MAIN CROSS ST, GREENVILLE, KY 42345-1576
(270) 338-9636
(270) 338-9639

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1281DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180034
NVA
01
21435
AVESIS
01
25125
GE
01
297436
OPTICHOICE
05
77012813
KY
01
DB4678
RAILROAD MEDICARE GROUP
01
KY1281
EYEMED
01
P00107376
RAILROAD MEDICARE
Enumeration date
11/04/2005
Last updated
11/21/2011
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