NPI 1205991791

Dale Souleyrette, OD

Practitioner Optometrist Elizabethtown, KY

Practice location

Address: 1709 N Dixie Ave STE 101, Elizabethtown, KY 42701-9496
Phone: (270) 765-2020
Fax: (502) 765-4482
Mailing address: 11103 West Ave Suite 6, San Antonio, TX 78213-1370

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1141DT (KY)

Other Optometrist providers in Kentucky →

Registry record

NPI: 1205991791
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Dec 2006
Record last updated: 5 Mar 2019

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.