Organization
TARA GEIMAN, OD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARA ANN GEIMAN O.D. (OWNER)
(502) 290-6625
Entity
Organization
Contact information
Practice address
4915 DIXIE HWY, LOUISVILLE, KY 40216-2501
(502) 448-9161
Mailing address
10548 CLAYTON ALLEN BLVD, LOUISVILLE, KY 40229-2456
(502) 290-6625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1640DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224638
COLE MANAGED VISION
KY
Enumeration date
08/31/2006
Last updated
08/22/2020
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