Individual
SARAH JO BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
815 MAIN ST., MUNFORDVILLE, KY 42765-0507
(270) 524-5444
(270) 524-4600
Mailing address
815 MAIN ST., MUNFORDVILLE, KY 42765-0507
(270) 524-5444
(270) 524-4600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1971DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542753
ANTHEM
KY
01
—
1971DT
KY LICENSE
KY
05
—
7100010580
—
KY
Enumeration date
05/07/2014
Last updated
02/03/2015
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