Organization
BERTRAM EYECARE, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL TIMOTHY BERTRAM O.D. (PRESIDENT)
(859) 341-3937
Entity
Organization
Contact information
Practice address
705 BUTTERMILK PIKE, SUITE 100, CRESCENT SPRINGS, KY 41017-1303
(859) 341-3937
Mailing address
705 BUTTERMILK PIKE, SUITE 100, CRESCENT SPRINGS, KY 41017-1303
(859) 341-3937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100072090
—
KY
Enumeration date
09/29/2008
Last updated
12/07/2014
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