Individual
HANNAH STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
112 S VINSON AVE, LOUISA, KY 41230-1155
(606) 638-4731
(304) 638-3523
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
PENDING
KY
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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