Individual
DR. BRUCE W. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
49 DEER RUN RD, CADIZ, KY 42211-9474
(270) 924-9429
(270) 924-9429
Mailing address
49 DEER RUN RD, CADIZ, KY 42211-9474
(270) 924-9429
(270) 924-9429
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1611DT
KY
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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