Individual
PATRICK NOVOTNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7900 SHELBYVILLE RD, STE. A15, LOUISVILLE, KY 40222-5451
(502) 327-8568
(502) 327-0613
Mailing address
7900 SHELBYVILLE RD, STE. A15, LOUISVILLE, KY 40222-5451
(502) 327-8568
(502) 327-0613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1279DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71012797
—
KY
01
—
P00869237
RR MEDICARE PIN
KY
Enumeration date
03/15/2007
Last updated
12/23/2010
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