person
Tiffany Maria Beasley, LDO
Optician in Louisville, Kentucky
NPI 1093396186

Tiffany Maria Beasley is a Optician based in Louisville, KY and is specialized in Optician. Tiffany Maria Beasley practices in Louisville, KY and has the professional credentials of LDO. The NPI Number for Tiffany Maria Beasley is 1093396186 and holds a License No. 111351 (Kentucky).

The current practice location address for Tiffany Maria Beasley is 4917 Dixie Hwy Ste H, Louisville, KY and can be reached out via phone at 502-447-2020.

Location: 4917 Dixie Hwy Ste H, Louisville, KY, 40216-2565
person
Provider Profile Details
NPI Number
1093396186
Provider Name
Tiffany Maria Beasley
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
4917 Dixie Hwy Ste H, Louisville, KY, 40216-2565
Phone Number
502-447-2020
Fax Number
Provider Enumeration Date
04/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4917 Dixie Hwy Ste H
City
State
Zip
40216-2565
Phone Number
502-447-2020
Fax Number
person
Provider Business Mailing Address Details
Address
4917 Dixie Hwy Ste H
City
State
Zip
40216-2565
Phone Number
502-447-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
111351 (Kentucky)
Definition
Definition to come...
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