Individual
DAVID M EADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
177 WASHINGTON DR, SOMERSET, KY 42501-2938
(606) 679-0033
(606) 679-0152
Mailing address
177 WASHINGTON DR, SOMERSET, KY 42501-2938
(606) 679-0033
(606) 679-0152
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1063DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010635
—
KY
05
—
77902203
—
KY
Enumeration date
01/04/2007
Last updated
11/22/2013
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