Gaddie, Ian Ben
Gaddie, Ian Ben is an individual health care provider with primary practice located at 7635 Shelbyville Rd , Louisville KY 40222-5409. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Gaddie, Ian Ben can be contacted via phone (502) 423-8500.Contact Information
Primary practice address
7635 Shelbyville Rd
Louisville KY 40222-5409
Phone: (502) 423-8500
Fax: (502) 339-0571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1374DT | Kentucky |
Profile Details
| NPI number | 1053385476 |
|---|---|
| LBN Legal business name | Gaddie, Ian Ben |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | May 24th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053385476 | NPPES |
| Kentucky | MEDICAID | 77013746 | |
| Kentucky | Other | 000000075138 |
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