Organization
MEDICAL VISION INSTITUTE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JITANDER S DUDEE M.D. (PRESIDENT/OPTHALMOLOGIST)
(859) 278-9486
Entity
Organization
Contact information
Practice address
2351 HUGUENARD DRIVE, SUITE 100, LEXINGTON, KY 40503
(859) 278-9486
(888) 500-3329
Mailing address
181 PROSPEROUS PL, LEXINGTON, KY 40509-1804
(859) 278-9486
(888) 500-3329
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
KY30460
KY
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64304603
—
KY
05
—
7100177830
—
KY
Enumeration date
08/04/2011
Last updated
10/02/2024
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