Individual
JARROD ASHLEY MAYHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2345 HAPPY VALLEY RD, GLASGOW, KY 42141-8076
(270) 678-4338
(270) 678-2647
Mailing address
2345 HAPPY VALLEY RD, GLASGOW, KY 42141-8076
(270) 678-4338
(270) 678-2647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1461DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000495
—
KY
Enumeration date
05/15/2007
Last updated
03/04/2015
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