Individual
DR. MARK JEFFERY FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
820 EASTERN BYP, RICHMOND, KY 40475-2512
(859) 625-0042
Mailing address
3704 RIDGE VIEW WAY, LEXINGTON, KY 40509-2941
(859) 543-9474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1315 DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77013159
—
KY
Enumeration date
01/08/2007
Last updated
12/18/2007
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