Individual
RACHEL A VONDERACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD, FAAO, MED VFL
Contact information
Practice address
600 BLUFFS EDGE DR, MT WASHINGTON, KY 40047-6813
(720) 810-7042
Mailing address
600 BLUFFS EDGE DR, MT WASHINGTON, KY 40047-6813
(720) 810-7042
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008678-1
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/01/2016
Last updated
11/01/2022
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