Individual
DR. CAROLYN M. BRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
3161 DIXIE HWY, STE D, ERLANGER, KY 41018-1841
(859) 341-8600
(859) 341-3650
Mailing address
3161 DIXIE HWY, STE D, ERLANGER, KY 41018-1841
(859) 341-8600
(859) 341-3650
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1061DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000033230
ANTHEM
KY
01
—
410030847
RR MEDICARE
KY
01
—
K013140
CHAMPUS
KY
01
—
KY1061
EYEMED
KY
Enumeration date
01/17/2006
Last updated
06/02/2015
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