Individual
SUZANNAH R RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4051 NICHOLASVILLE RD, INSIDE WAL-MART VISION CTR, LEXINGTON, KY 40503-4432
(859) 272-1422
Mailing address
1024 N MAIN ST, INSIDE WAL-MART VISION CENTER, NICHOLASVILLE, KY 40356-2311
(859) 881-5444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1355DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000362600
BLUE CROSS BLUE SHIELD
KY
05
—
77000271
—
KY
Enumeration date
06/23/2006
Last updated
12/01/2010
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