Individual
DR. GUADALUPE ANGELICA MEJIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
301 E MUHAMMAD ALI BLVD, LOUISVILLE, KY 40202-1511
(502) 852-5466
(502) 852-4947
Mailing address
501 E BROADWAY STE 290, LOUISVILLE, KY 40202-2040
(502) 217-8221
(502) 217-5056
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
007185
NY
152W00000X
Optometrist
Primary
1750DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100114440
—
KY
Enumeration date
07/13/2007
Last updated
10/24/2011
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