Individual
DR. DANIEL B TEW JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3571 SPRINGHURST BLVD, LOUISVILLE, KY 40241-4144
(502) 339-7323
Mailing address
2216 MARGATE CT, LA GRANGE, KY 40031-8689
(502) 599-9998
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004060A
IN
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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