Individual
DR. ANTHONY J MAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
129 W MAIN ST, MOREHEAD, KY 40351-1625
(606) 784-5355
(606) 784-4864
Mailing address
129 W MAIN ST, MOREHEAD, KY 40351-1625
(606) 784-5355
(606) 784-4864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1114DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002791
CNA
KY
01
—
000000049329
ANTHEM
KY
01
—
1924
BLUEGRASS
KY
01
—
611169861
HUMANA
KY
05
—
77011146
—
KY
Enumeration date
10/18/2006
Last updated
01/27/2015
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