Organization
BARRETT SIMPSON, O.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BARRETT SIMPSON O.D. (PRESIDENT)
(270) 793-0958
Entity
Organization
Contact information
Practice address
3200 KEN BALE BLVD, BOWLING GREEN, KY 42103-6025
(270) 793-0958
(270) 781-7933
Mailing address
5816 HIGHWAY 259 NORTH, SWEEDEN, KY 42285
(270) 286-0276
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1554DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000826
—
KY
Enumeration date
04/12/2007
Last updated
08/22/2020
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