Derby City Eye Care, Pllc

NPI #1528425444 in Crestwood, Kentucky

Provider Information

NPI Number: 1528425444
Entity Type: Organization
Organization Name: Derby City Eye Care, Pllc
Primary Specialty: Optometrist
Enumeration Date: Jan 22, 2016
Last Updated: Mar 17, 2018

Practice Location

Address: 6501 VETERANS MEMORIAL PKWY
City: Crestwood
State: Kentucky
ZIP Code: 40014-8694
Phone: (502) 996-7450

Authorized Official

Name: JEREMY D. FOWLER, O.D.
Title: OWNER
Phone: (502) 996-7450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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