Vickers, Gary Wilbur

Vickers, Gary Wilbur is an sole proprietor health care provider with primary practice located at 3301 Mount Shasta Way , Louisville KY 40241-6213. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vickers, Gary Wilbur can be contacted via phone (502) 425-5839.

Contact Information

Primary practice address
3301 Mount Shasta Way Louisville KY 40241-6213
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 775DT Kentucky

Profile Details

NPI number 1912986266
LBN Legal business name Vickers, Gary Wilbur
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2006
Last updated Apr 23rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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