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Organization

RETINA ASSOCIATES, PSC

Active
Other names
The Eye Care Institute
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK PRUSSIAN (CEO)
(502) 589-1500
Entity
Organization

Contact information

Practice address
10731 HWY 44 E, MT WASHINGTON, KY 40047
(502) 589-1500
(502) 589-1556
Mailing address
1536 STORY AVE, LOUISVILLE, KY 40206-1738
(502) 589-1500
(502) 589-1556

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary

Other

Enumeration date
09/07/2011
Last updated
09/07/2011
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