IndividualActive
Andrea Gardner
NPI 1104541275 · Optician · Campbellsville, KY
Provider details
- NPI number
- 1104541275
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 109976 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
725 Campbellsville Byp
Campbellsville, KY 42718-8846
Phone: (270) 789-0584
Approximate (ZIP-level) locationGet directions
Mailing address
725 Campbellsville Byp
Campbellsville, KY 42718-8846
Registry dates
- Enumerated
- 2022-10-11
- Last updated
- 2022-10-11
- Certified
- 2022-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.