Most Relevant Information
Provider Data
NPI Number: | 1003017690 |
Provider Name: | JOHN D MACKEY O.D. |
Entity Type: | Individual |
Taxonomy Code: | 152WC0802X |
Specialty: | Optometrist |
License Number: | 1171DT |
Most Important Dates
Enumeration Date: | 05/30/2007 |
Last Updated: | 07/08/2007 |
Provider Practice Location
1240 BELMAR LN
LEXINGTON
KY
405159411
Practice Location Phone/Fax
Phone: | 8592728181 |
Fax: |
Provider Mailing Location
1240 BELMAR LN
LEXINGTON
KY
405159411
Provider Mailing Phone/Fax
Phone: | 8592728181 |
Fax: |