Kentucky Optical Company LLC
NPI #1003060930 in Louisville, Kentucky
Provider Information
- NPI Number
- 1003060930
- Entity Type
- Organization
- Organization Name
- Kentucky Optical Company LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Nov 5, 2008
- Last Updated
- Oct 17, 2013
Practice Location
- Address
- 4940 HAZELWOOD AVE
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40214-1270
- Phone
- (502) 367-2010
Authorized Official
- Name
- DR. SUSHIL V KUMAR, MD
- Title
- OWNER
- Phone
- (502) 368-3937
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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