Individual
DR. WALLACE TODD COHRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
221 W GL SMITH ST, MORGANTOWN, KY 42261-1007
(270) 526-6800
(270) 526-5462
Mailing address
221 W GL SMITH ST, PO BOX 1007, MORGANTOWN, KY 42261-1007
(270) 526-6800
(270) 526-5462
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1372DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000041897
BLUE CROSS
KY
01
—
000000041898
BLUE CROSS/BLU SHIELD
KY
01
—
02144
SPECTERA IN HARTFORD
KY
01
—
02145
SPECTERA IN MORGANTOWN
KY
01
—
1524171
UMWA FUNDS
KY
01
—
410032987
RAILROAD MEDICARE IN HART
KY
01
—
410032989
RAILROAD MEDICARE IN MORG
KY
05
—
77013720
—
KY
Enumeration date
01/17/2006
Last updated
02/10/2012
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