Individual
EVAN CASSITY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3801 BISHOP LN, LOUISVILLE, KY 40218-2905
(502) 813-3389
Mailing address
3801 BISHOP LN, LOUISVILLE, KY 40218-2905
(502) 813-3389
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
164697
KY
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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