Individual
DR. CHARLES BARRETT SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2525 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9120
(270) 259-2020
(270) 259-5660
Mailing address
2525 ELIZABETHTOWN RD, LEITCHFIELD, KY 42754-9120
(270) 259-2020
(270) 259-5660
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1554DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542753
ANTHEM BCBS
KY
01
—
000000542754
ANTHEM BCBS
KY
05
—
77903896
—
KY
01
—
P00683697
RAILROAD MEDICARE
KY
Enumeration date
08/29/2006
Last updated
04/28/2009
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