Whalio Doctors

NPI 1063143063

Terance Anthony Cunningham

Practitioner Optician Louisville, KY

Practice location

Address
3706 Diann Marie Rd, Louisville, KY 40241-3818
Phone
(502) 326-0407
Mailing address
9803 Stonehenge Way, Louisville, KY 40241-2133

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 275941 (KY)

Registry record

NPI
1063143063
Entity type
Individual
Sex (as registered)
Male
NPI issued
21 Jun 2022
Record last updated
21 Jun 2022

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.