Organization
CASAK WOODHILL LLC
Active
Other names
Pal Optical
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN AMBROSE KLECKER OD (MANAGING MEMBER)
(859) 266-3003
Entity
Organization
Contact information
Practice address
1555 E NEW CIRCLE RD, SUITE #146, LEXINGTON, KY 40509-1043
(859) 266-3003
(859) 266-9504
Mailing address
1555 E NEW CIRCLE RD, SUITE #146, LEXINGTON, KY 40509-1043
(859) 266-3003
(859) 266-9504
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
244184
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52800935
—
KY
Enumeration date
12/21/2006
Last updated
08/22/2020
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