Organization
DRS. GUERRANT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALLACE B GUERRANT JR. OD (SECRETARY TREASURER)
(888) 497-2117
Entity
Organization
Contact information
Practice address
409 INDIAN MOUND DR, MT STERLING, KY 40353-1096
(888) 497-2117
(859) 497-2542
Mailing address
409 INDIAN MOUND DR, MT STERLING, KY 40353-1096
(888) 497-2117
(859) 497-2542
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77012144
—
KY
Enumeration date
06/06/2007
Last updated
06/13/2008
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