Organization
RADEMAKER EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DON ALAN RADEMAKER O.D. (CEO)
(270) 640-4699
Entity
Organization
Contact information
Practice address
BUILDING 2840, BASTOGNE AVE., FORT CAMPBELL, KY 42223
(270) 640-4699
(270) 640-6347
Mailing address
BUILDING 2840 BASTOGNE AVE., FORT CAMPBELL, KY 42223
(270) 640-4699
(270) 640-6347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1479DT
KY
Other
Enumeration date
04/20/2007
Last updated
08/22/2020
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