Organization
MEDICAL EYE ASSOCIATES OF LOUISVILLE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK CASSOL M.D. (PRESIDENT/OWNER)
(502) 759-2765
Entity
Organization
Contact information
Practice address
3999 DUTCHMANS LN, SUITE 5F, LOUISVILLE, KY 40207-4729
(502) 899-2179
Mailing address
7840 MONTGOMERY RD, CINCINNATI, OH 45236-4301
(513) 354-5808
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
39515
KY
Other
Enumeration date
02/22/2012
Last updated
02/22/2012
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