Individual
JENNIFER MERCADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2174 DIXIE HWY, FORT MITCHELL, KY 41017-2902
(859) 341-2566
(859) 341-2568
Mailing address
2174 DIXIE HWY, FORT MITCHELL, KY 41017-2972
(859) 341-2566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1653DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372897
ANTHEM
—
01
—
61-1169814
TAX IDENTIFICATION
KY
05
—
7100172260
—
KY
05
—
77001659
—
KY
Enumeration date
08/30/2006
Last updated
12/09/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us