Individual
TERESA PARTIN MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D. P.S.C.
Contact information
Practice address
2647 N US HWY 25, EAST BERNSTADT, KY 40729
(606) 843-6060
(606) 843-7243
Mailing address
PO BOX 548, EAST BERNSTADT, KY 40729-0548
(606) 843-6060
(606) 843-7243
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1270
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051211
ANTHEM
KY
01
—
1499379
UMWA
KY
01
—
611284674
HUMANA
KY
01
—
7517
CHA
KY
05
—
77012706
—
KY
Enumeration date
12/18/2006
Last updated
03/28/2012
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