Individual
DR. MARY CATHERINE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
313 S CAROL MALONE BLVD, GRAYSON, KY 41143-1357
(606) 474-7833
(606) 474-3563
Mailing address
1120 NORWOOD AVE, ASHLAND, KY 41102-5258
(740) 612-2775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1719DT
KY
152W00000X
Optometrist
5648
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000530225
ANTHEM
—
01
—
9866058
AETNA
—
Enumeration date
05/23/2007
Last updated
11/08/2022
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