IndividualActive
Anthony Brewster, LDO
NPI 1043891013 · Optician · Louisville, KY
Provider details
- NPI number
- 1043891013
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Male
- Sole proprietor
- No
- License
- 110000 (KY)
Practice location
4036 Dutchmans Ln
Louisville, KY 40207-4704
Phone: (502) 895-2020
Fax: (502) 657-4982
Mailing address
4036 Dutchmans Ln
Louisville, KY 40207-4704
Registry dates
- Enumerated
- 2021-04-20
- Last updated
- 2021-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.