Individual
DR. IAN W MCWHERTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1935 BLUEGRASS AVE, LOUISVILLE, KY 40215-1179
(502) 364-0033
(502) 361-4488
Mailing address
1935 BLUEGRASS AVE, SUITE 200, LOUISVILLE, KY 40215-1179
(502) 364-0033
(502) 361-4488
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18003740A
IN
152W00000X
Optometrist
Primary
1905DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201258240
—
IN
05
—
7100286300
—
KY
Enumeration date
07/16/2012
Last updated
07/28/2022
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