IndividualActive
Adria Porter, OD
NPI 1265429641 · Optometrist · Providence, KY
Provider details
- NPI number
- 1265429641
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- No
- License
- 1619-DT (KY)
Practice location
215 E Main St
Providence, KY 42450-1261
Phone: (270) 667-7017
Fax: (270) 667-9065
Mailing address
Po Box 37
Providence, KY 42450-0037
Registry dates
- Enumerated
- 2005-09-30
- Last updated
- 2018-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.