Organization
KENTUCKY OPTICAL EXPRESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE BULLARD GUERRANT JR. O.D. (PRESIDENT AND CEO)
(888) 497-2117
Entity
Organization
Contact information
Practice address
122 STONE TRACE DRIVE, SUITE B, MOUNT STERLING, KY 40353
(888) 497-2117
(859) 497-2542
Mailing address
122 STONE TRACE DR., SUITE B, MOUNT STERLING, KY 40353-5242
(888) 497-2117
(859) 497-2542
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
03/28/2008
Last updated
03/19/2009
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