Woody, David Thomas

Woody, David Thomas is an individual health care provider with primary practice located at 311 N 3Rd St , Bardstown KY 40004-1507. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Woody, David Thomas can be contacted via phone (502) 348-8584.

Contact Information

Primary practice address
311 N 3Rd St Bardstown KY 40004-1507
Phone: (502) 348-8584
Fax: (502) 348-4695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1248DT Kentucky

Profile Details

NPI number 1467583468
LBN Legal business name Woody, David Thomas
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated May 11th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467583468 NPPES
Kentucky Other 000000049974 UNICARE PROVIDER NUMBER
Kentucky Other 000000049974 UNICARE PROVIDER NUMBER
Kentucky MEDICAID 77012482 UNICARE PROVIDER NUMBER
Kentucky Other 911296 UNICARE PROVIDER NUMBER
Kentucky Other 410023108 UNICARE PROVIDER NUMBER
Kentucky Other 4673505 UNICARE PROVIDER NUMBER
Kentucky Other 11314 UNICARE PROVIDER NUMBER

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