Individual
DR. SPENCER R MAUDLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
527 W MAIN ST, MITCHELL, IN 47446-1410
(502) 895-2020
(502) 895-2024
Mailing address
527 W MAIN ST, MITCHELL, IN 47446-1410
(502) 894-0322
(502) 895-2024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1588DT
KY
152W00000X
Optometrist
18003246A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77001543
—
KY
Enumeration date
09/26/2006
Last updated
06/04/2024
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