Organization
DR. GARY E. KING OPTOMETRIST PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY E KING O.D. (OWNER)
(859) 986-7027
Entity
Organization
Contact information
Practice address
109 BOONE ST, BEREA, KY 40403-1603
(859) 986-7027
(859) 986-4749
Mailing address
109 BOONE ST, BEREA, KY 40403-1603
(859) 986-7027
(859) 986-4749
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77008654
—
KY
Enumeration date
11/25/2008
Last updated
04/03/2013
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