Individual
MARY ANNE BELCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D,
Contact information
Practice address
20 SPRING AVE, ELKHORN CITY, KY 41522
(606) 754-5775
(606) 754-5775
Mailing address
PO BOX 1237, ELKHORN CITY, KY 41522-1237
(606) 754-5775
(606) 754-5775
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1059DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000185534
ANTHEM BC BS
KY
01
—
410046162
PALMETTO/ RR MEDICARE
KY
05
—
77010593
—
KY
Enumeration date
01/11/2007
Last updated
03/04/2015
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