Individual
DR. J. A. BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6434 N PRESTON HWY, SUITE 2, LOUISVILLE, KY 40229-4488
(502) 957-2149
(502) 957-4738
Mailing address
6434 N PRESTON HWY, SUITE 2, LOUISVILLE, KY 40229-4488
(502) 957-2149
(502) 957-4738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0810DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610915657
TAX ID
KY
05
—
77008100
—
KY
01
—
911201
PASSPORT
KY
Enumeration date
12/12/2006
Last updated
04/08/2009
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