IndividualActive
Diane Mando
NPI 1194001859 · Optician · Crestview Hills, KY
Provider details
- NPI number
- 1194001859
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1108 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
375 Thomas More Pkwy
Crestview Hills, KY 41017-2176
Phone: (859) 341-5383
Fax: (859) 341-3504
Approximate (ZIP-level) locationGet directions
Mailing address
375 Thomas More Pkwy
Crestview Hills, KY 41017-2176
Registry dates
- Enumerated
- 2011-10-26
- Last updated
- 2011-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.