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Berea Optical Llc
Optician in Berea, Kentucky
NPI 1316162019

Berea Optical Llc is a Optician based in Berea, KY and is specialized in Optician. Berea Optical Llc practices in Berea, KY. The NPI Number for Berea Optical Llc is 1316162019 and holds a License No. KY 1075 (Kentucky).

The current practice location address for Berea Optical Llc is 400 Richmond Rd N, Berea, KY and can be reached out via phone at 859-985-0044 and via fax at 859-985-0045.

Location: 400 Richmond Rd N, Berea, KY, 40403-1015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316162019
Provider Name
Berea Optical Llc
Credential
Provider Entity Type
Organization
Address
400 Richmond Rd N, Berea, KY, 40403-1015
Phone Number
859-985-0044
Fax Number
859-985-0045
Provider Enumeration Date
04/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
KY 1075 01 KY EYEMED
52000130 05 KY
institution
Provider Business Practice Location Address Details
Address
400 Richmond Rd N
City
Berea
State
Kentucky
Zip
40403-1015
Phone Number
859-985-0044
Fax Number
859-985-0045
person
Provider Business Mailing Address Details
Address
400 Richmond Rd N
City
Berea
State
Kentucky
Zip
40403-1015
Phone Number
859-985-0044
Fax Number
859-985-0045
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
KY 1075 (Kentucky)
Definition
Definition to come...
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