Individual
MICHAEL EGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3563 SPRINGHURST BLVD, LOUISVILLE, KY 40241-4144
(502) 339-7323
(502) 412-7331
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1211DT
KY
152W00000X
Optometrist
18002556A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011211
—
KY
Enumeration date
12/21/2006
Last updated
07/09/2007
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