Organization
JOHN G ROCHE OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN G ROCHE OPTICIAN (OPTICIAN/OWNER)
(859) 745-1400
Entity
Organization
Contact information
Practice address
2560 BYPASS RD, WINCHESTER, KY 40391-2387
(859) 745-1400
(859) 744-1454
Mailing address
PO BOX 4255, WINCHESTER, KY 40392-4255
(859) 745-1400
(859) 744-1454
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
495
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000193514
BC/BS PROVIDER NUMBER
KY
01
—
KY0495
EYEMED PROVIDER ID
KY
Enumeration date
10/02/2006
Last updated
08/22/2020
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