Organization
GADDIE EYE CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN BEN GADDIE OD (AUTHORIZED OFFICIAL)
(502) 423-8500
Entity
Organization
Contact information
Practice address
7635 SHELBYVILLE RD, LOUISVILLE, KY 40222-5409
(502) 423-8500
(502) 339-0571
Mailing address
7635 SHELBYVILLE RD, LOUISVILLE, KY 40222-5409
(502) 423-8500
(502) 339-0571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77901213
—
KY
01
—
CE7398
RR MEDICARE
KY
01
—
CI8844
RR MEDICARE
—
Enumeration date
02/15/2006
Last updated
10/09/2020
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