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Organization

DR SHEWMAKER & ASSOCIATES OPTOMETRISTS INC

Active
Other names
Vision One
Organization subpart
No

Provider details

NPI number
Authorized official
VIRGINIA LACHMANN (PRACTICE ADMINISTRATOR)
(859) 341-2566
Entity
Organization

Contact information

Practice address
2174 DIXIE HWY, FORT MITCHELL, KY 41017-2902
(859) 341-2566
(859) 341-2568
Mailing address
2174 DIXIE HWY, FORT MITCHELL, KY 41017-2902
(859) 341-2566
(859) 341-2568

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0938DT
KY
152W00000X
Optometrist
1569DT
KY
152W00000X
Optometrist
1570DT
KY
152W00000X
Optometrist
1653DT
KY
152W00000X
Optometrist
1753DT
KY
156FX1800X
Optician
KY1377
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45003993
EPSDT
KY
05
7100057440
KY
05
7100172260
KY
05
77000974
KY
05
77001030
KY
05
77001659
KY
05
77009389
KY
Enumeration date
01/08/2007
Last updated
01/04/2019
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