Individual
DR. ARISTOTLE J LYSANDROU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
451 RIVER HILL DR, ASHLAND, KY 41101-7386
(606) 329-2020
(606) 329-2033
Mailing address
PO BOX 2113, HUNTINGTON, WV 25721-2113
(606) 329-2020
(606) 329-2033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1504DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000317201
ANTHEM BC/BS
KY
01
—
27039
SPECTERA
KY
01
—
52141
DAVIS VISION
KY
05
—
77001329
—
KY
01
—
LY1728649
CLARITY VISION
KY
Enumeration date
08/30/2006
Last updated
07/08/2007
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