Individual
DR. SUSAN MARIE GRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7900 SHELBYVILLE RD, STE. A15, LOUISVILLE, KY 40222-5451
(502) 327-8568
(502) 327-0613
Mailing address
7900 SHELBYVILLE RD, STE. A15, LOUISVILLE, KY 40222-5451
(502) 327-8568
(502) 327-0613
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1277DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77012771
—
KY
01
—
P00805798
RR MEDICARE
KY
Enumeration date
03/17/2007
Last updated
04/23/2010
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