Individual
DR. RENA MELTON PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4051 NICHOLASVILLE RD, LEXINGTON, KY 40503-4432
(859) 971-0589
(859) 971-0591
Mailing address
4051 NICHOLASVILLE RD, LEXINGTON, KY 40503-4432
(859) 971-0589
(859) 971-0591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1636DT
KY
152W00000X
Optometrist
6761TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368848
BLUE CROSS BLUE SHIELD
KY
05
—
77001477
—
KY
Enumeration date
06/21/2006
Last updated
03/05/2008
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