Organization
EYEMART FAMILY VISION CARE INC
Active
Other names
EYE MART
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L GOODMAN OD (OWNER)
(502) 499-2020
Entity
Organization
Contact information
Practice address
9501 TAYLORSVILLE RD STE 106, JEFFERSONTOWN, KY 40299-2752
(502) 499-2020
(502) 499-6747
Mailing address
9501 TAYLORSVILLE RD STE 106, JEFFERSONTOWN, KY 40299-2752
(502) 499-2020
(502) 499-6747
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1071DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010718
—
KY
05
—
77901775
—
KY
Enumeration date
10/13/2008
Last updated
08/14/2022
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