Individual
MAKISHA S MAGGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2716 OLD ROSEBUD RD STE 130, LEXINGTON, KY 40509-8007
(859) 327-3701
(859) 327-3703
Mailing address
4051 NICHOLASVILLE RD, LEXINGTON, KY 40503-4433
(859) 272-1422
(859) 273-4582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1696DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537138
BLUE CROSS BLUE SHIELD
KY
05
—
7100013820
—
KY
Enumeration date
07/10/2007
Last updated
09/08/2023
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