Organization
KIMBERLY N STUCKEY EYE CARE LLC
Active
Organization
KIMBERLY N STUCKEY EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY NGUYEN STUCKEY OD (OPTOMETRIST/OWNER)
(614) 836-9669
Entity
Organization
Contact information
Practice address
5335 HENDRON RD, GROVEPORT, OH 43125-1055
(614) 836-9669
(614) 836-9703
Mailing address
5335 HENDRON RD, GROVEPORT, OH 43125-1055
(614) 836-9669
(614) 836-9703
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5682
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0073144
—
OH
Enumeration date
02/25/2014
Last updated
02/25/2014
Update your record
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