Organization
MUHA OPTOMETRIC GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN MARK MUHA O.D. (OPTOMETRIST)
(859) 492-0162
Entity
Organization
Contact information
Practice address
112 OSBOURNE WAY, GEORGETOWN, KY 40324-9636
(502) 863-9777
(502) 867-1226
Mailing address
3097 CAVERSHAM PARK LN, LEXINGTON, KY 40509-8501
(859) 492-0162
(606) 784-2124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1590DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100017080
—
KY
Enumeration date
05/27/2010
Last updated
05/27/2010
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