Individual
DR. DWIGHT L AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
941 N MAIN STREET, HAZARD, KY 41701
(606) 439-4010
(606) 439-0880
Mailing address
941 N MAIN ST, HAZARD, KY 41701-1377
(606) 439-4010
(606) 439-0880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1120OT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77011203
—
KY
Enumeration date
11/02/2006
Last updated
11/06/2012
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