Organization
CHARLES KREBS OPTICAL SHOPPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BABCOCK (OPTICIAN)
(502) 897-1199
Entity
Organization
Contact information
Practice address
129 SAINT MATTHEWS AVE, LOUISVILLE, KY 40207-3141
(502) 897-1199
Mailing address
129 SAINT MATTHEWS AVE, LOUISVILLE, KY 40207-3141
(502) 897-1199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0372
KY
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
Update your record
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