Gary Wilbur Vickers, O.D.

NPI #1912986266 in Louisville, Kentucky

Provider Information

NPI Number: 1912986266
Entity Type: Individual
Name: Gary Wilbur Vickers, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jan 14, 2006
Last Updated: Apr 23, 2011

Practice Location

Address: 3301 MOUNT SHASTA WAY
City: Louisville
State: Kentucky
ZIP Code: 40241-6213
Phone: (502) 425-5839

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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