Individual
DR. BENJAMIN LEE MACKEY
Active
Individual
DR. BENJAMIN LEE MACKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
37261
KY
152WL0500X
Low Vision Rehabilitation Optometrist
37261
KY
152WP0200X
Pediatric Optometrist
37261
KY
152WX0102X
Occupational Vision Optometrist
37261
KY
207W00000X
Ophthalmology Physician
Primary
37261
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64052327
—
KY
Enumeration date
06/01/2005
Last updated
04/26/2010
Update your record
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