NPI 1679626139

Retina Associates, Psc

Organisation Optician Louisville, KY

Practice location

Address: 2355 Poplar Level Rd, Louisville, KY 40217-1395
Phone: (502) 637-3036
Fax: (502) 637-1105

Authorised official

Name: Mark M Prussian
Title: Administrator
Phone: (502) 589-1500

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Kentucky →

Registry record

NPI: 1679626139
Entity type: Organization
NPI issued: 19 Jan 2007
Record last updated: 29 Jun 2009

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.