Most Relevant Information
Provider Data
| NPI Number: | 1003836412 |
| Provider Name: | EMILY R SHULL O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 5574 T2488 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 12/18/2007 |
Provider Practice Location
580 S LOOP RD
SUITE 200
EDGEWOOD
KY
410173405
Practice Location Phone/Fax
| Phone: | 8593319000 |
| Fax: | 8593319040 |
Provider Mailing Location
1945 CEI DRIVE
CINCINNATI
OH
452423311
Provider Mailing Phone/Fax
| Phone: | 5139845133 |
| Fax: | 8593319040 |