Organization
BRIAN J VANDERPLOEG, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN VANDERPLOEG O.D. (PRESIDENT)
(502) 968-6860
Entity
Organization
Contact information
Practice address
4801 OUTER LOOP, D-648, LOUISVILLE, KY 40219-3201
(502) 968-6860
(502) 969-5293
Mailing address
4801 OUTER LOOP, D-648, LOUISVILLE, KY 40219-3201
(502) 968-6860
(502) 969-5293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1672DT
KY
Other
Enumeration date
06/08/2007
Last updated
08/22/2020
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