Organization
M.D. OPTIQUE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY DENISE FRIDENMAKER OPTICIAN (OWNER)
(859) 278-5443
Entity
Organization
Contact information
Practice address
3801 MALL ROAD, SUITE 115, LEXINGTON, KY 40503
(859) 278-5443
(859) 277-6332
Mailing address
3801 MALL ROAD, SUITE 115, LEXINGTON, KY 40503
(859) 278-5443
(859) 277-6332
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
KY 1309
KY
Other
Enumeration date
02/15/2007
Last updated
04/17/2015
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