Individual
MATT J HESSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
211 CUMBERLAND XING, MONTICELLO, KY 42633-9000
(606) 348-3355
Mailing address
78 BARNES DR, MONTICELLO, KY 42633-9002
(606) 348-3355
(606) 348-5665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1512DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000396
—
KY
Enumeration date
12/22/2006
Last updated
03/02/2020
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