NPI 1508986167

Clinic Optical

Organisation Eyewear Supplier Bowling Green, KY

Practice location

Address: 201 Park St, Bowling Green, KY 42101-1759
Phone: (270) 780-0594
Fax: (270) 783-3361

Authorised official

Name: Jennifer Wentworth
Title: Ophthalmologist
Phone: (270) 780-0594

Registered specialties (2)

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 102090 (KY)

Other Eyewear Supplier providers in Kentucky →

Ophthalmic Technician/Technologist

Eye and Vision Services Providers Taxonomy 156FX1100X Licence E82360 (KY)

Other Technician/Technologist providers in Kentucky →

Registry record

NPI: 1508986167
Entity type: Organization
NPI issued: 29 Mar 2007
Record last updated: 7 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.