Individual
TYLER DAVID FRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1 N MAYSVILLE ST, MT STERLING, KY 40353-1753
(859) 498-6001
Mailing address
1 N MAYSVILLE AVE, MT STERLING, KY 40353
(859) 498-6001
(859) 497-0222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2298DT
KY
152W00000X
Optometrist
3169
OK
Other
Enumeration date
07/18/2022
Last updated
04/10/2024
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