Individual
BRETT A HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
308 N MAIN ST, CYNTHIANA, KY 41031-1210
(859) 234-1424
(859) 234-5463
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1320DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77013209
—
KY
Enumeration date
05/14/2007
Last updated
10/06/2021
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