NPI 1821815093

Nicholas Ryan Mairose, LDO

Practitioner Optician Dry Ridge, KY

Practice location

Address: 20 Ferguson Blvd, Dry Ridge, KY 41035-8699
Phone: (859) 824-0724
Fax: (859) 824-0734

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 110747 (KY)

Other Technician/Technologist providers in Kentucky →

Registry record

NPI: 1821815093
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Sep 2024
Record last updated: 20 Sep 2024

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.