Organization
SUNDERMAN DOWDALL
Active
Other names
Northern Kentucky Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER DOWDALL OD (OWNER/OPTOMETRIST)
(859) 781-2000
Entity
Organization
Contact information
Practice address
92 ALEXANDRIA PIKE, FORT THOMAS, KY 41075-1729
(859) 781-2000
Mailing address
92 ALEXANDRIA PIKE, FORT THOMAS, KY 41075-1729
(859) 781-2000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Enumeration date
12/12/2021
Last updated
12/29/2021
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