Individual
MARK ROLLAND MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
109 CAROLINE AVE, PIKEVILLE, KY 41501-1101
(606) 437-7587
(606) 437-7035
Mailing address
109 CAROLINE AVE, PIKEVILLE, KY 41501-1101
(606) 437-7587
(606) 437-7035
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
966DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77009660
—
KY
Enumeration date
06/03/2006
Last updated
01/15/2009
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