Individual
ROMINA A. HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
5023 MUD LN STE 110, LOUISVILLE, KY 40229-2800
(502) 964-9400
(502) 964-1915
Mailing address
5023 MUD LN STE 110, LOUISVILLE, KY 40229-2800
(502) 964-9400
(502) 964-1915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003995A
IN
152W00000X
Optometrist
Primary
2038DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2038DT
OPTOMETRIC LICENSE
KY
05
—
PENDING
—
KY
Enumeration date
08/01/2016
Last updated
03/07/2023
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