Individual
DR. TYLER ROBERT HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1788DT
KY
152W00000X
Optometrist
Primary
18003584A
IN
152W00000X
Optometrist
5870
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3096984
—
OH
Enumeration date
06/22/2009
Last updated
03/15/2011
Update your record
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