360care LLC

NPI #1063034585 in Louisville, Kentucky

Provider Information

NPI Number: 1063034585
Entity Type: Organization
Organization Name: 360care LLC
Primary Specialty: Optometrist
Enumeration Date: May 7, 2020
Last Updated: May 7, 2020

Practice Location

Address: 12910 SHELBYVILLE RD STE 300
City: Louisville
State: Kentucky
ZIP Code: 40243-2404
Phone: (502) 244-2420

Authorized Official

Name: JOY L STEVENS
Title: DIRECTOR OF CREDENTIALING
Phone: (502) 244-2441

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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