Individual
BRUCE JAY GADDIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7635 SHELBYVILLE RD, LOUISVILLE, KY 40222-5409
(502) 423-8500
(502) 339-0571
Mailing address
7635 SHELBYVILLE RD, LOUISVILLE, KY 40222-5409
(502) 423-8500
(502) 339-0571
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
0746DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068679
ANTHEM
KY
01
—
4379776
AETNA
KY
05
—
77007466
—
KY
Enumeration date
02/15/2006
Last updated
05/24/2010
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