Individual
DR. TYLER ROBERT HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2343 ANTOINETTE WAY, UNION, KY 41091-7405
(812) 584-8515
Mailing address
2343 ANTOINETTE WAY, UNION, KY 41091-7405
(812) 584-8515
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
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