Individual
DR. CHRISTIAN MATTHEW WYLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
304 STANFORD ST, LANCASTER, KY 40444
(859) 304-5224
(859) 304-5227
Mailing address
103 NEWIGI DR, STANFORD, KY 40484-1309
(859) 339-8011
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2137DT
KY
Other
Enumeration date
06/17/2019
Last updated
07/27/2019
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