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Organization

DR. ELLIOTT ROSENGARTEN, OD, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ELLIOTT ROSENGARTEN OD (PRESIDENT)
(502) 426-5000
Entity
Organization

Contact information

Practice address
2420 LIME KILN LN, LOUISVILLE, KY 40222-3425
(502) 426-5000
(502) 426-2377
Mailing address
2420 LIME KILN LN, LOUISVILLE, KY 40222-3425
(502) 426-5000
(502) 426-2377

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
965DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1062201
KY
05
7100221010
KY
Enumeration date
10/24/2013
Last updated
10/24/2013
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