Individual
DR. ALICIA HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
10232 WESTPORT RD, LOUISVILLE, KY 40241-2148
(502) 339-2042
(502) 339-2044
Mailing address
PO BOX 207170, DALLAS, TX 75320-7156
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1266DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000313513
ANTHEM BLUE CROSS BLUE SH
KY
01
—
161677858
TRICARE PRIME
KY
01
—
19750
SPECTERA
KY
01
—
31675
AVESIS
KY
01
—
4360512
AETNA
KY
01
—
448070
HIGHMARK
KY
05
—
77012664
—
KY
01
—
911299
PASSPORT/BLOCK LOC 019488
KY
Enumeration date
09/22/2006
Last updated
10/06/2020
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