IndividualActive
Cristal Mattingly, LDO
NPI 1467181883 · Optician · Hanson, KY
Provider details
- NPI number
- 1467181883
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- Yes
- License
- 111514 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
420 Factory Outlet Dr
Hanson, KY 42413-9513
Phone: (270) 821-7177
Fax: (270) 322-8192
Approximate (ZIP-level) locationGet directions
Mailing address
420 Factory Outlet Dr
Hanson, KY 42413-9513
Registry dates
- Enumerated
- 2022-06-09
- Last updated
- 2022-06-09
- Certified
- 2022-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.