IndividualActive
Amanda Simmerman, LDO
NPI 1093303901 · Optician · Lexington, KY
Provider details
- NPI number
- 1093303901
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- No
- License
- 245638 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
110 Conn Ter
Lexington, KY 40508-3206
Phone: (859) 323-3045
Approximate (ZIP-level) locationGet directions
Mailing address
110 Conn Ter
Lexington, KY 40508-3206
Registry dates
- Enumerated
- 2021-01-06
- Last updated
- 2021-01-07
- Certified
- 2021-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.