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Individual

THOMAS ANDERSON PAYNE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICENSED OPTICIAN

Contact information

Practice address
7101 CEDAR SPRINGS BLVD, FERN CREEK, KY 40291-2587
(502) 231-7753
(502) 231-7054
Mailing address
2020 MOORELAND DR, LAWRENCEBURG, KY 40342-9024
(859) 421-2917

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111515
KY

Other

Enumeration date
06/28/2022
Last updated
06/28/2022
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