NPI 1093396186

Tiffany Maria Beasley, LDO

Practitioner Optician Louisville, KY

Practice location

Address: 4917 Dixie Hwy STE H, Louisville, KY 40216-2565
Phone: (502) 447-2020

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 111351 (KY)

Other Technician/Technologist providers in Kentucky →

Registry record

NPI: 1093396186
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Apr 2021
Record last updated: 20 Apr 2021

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.