IndividualActive
Cicely Myers, LDO
NPI 1508447780 · Optician · Louisville, KY
Provider details
- NPI number
- 1508447780
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Credential
- LDO
- Sex
- Female
- Sole proprietor
- No
- License
- 245402 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
4036 Dutchmans Ln
Louisville, KY 40207-4704
Phone: (502) 895-2020
Fax: (502) 736-9762
Approximate (ZIP-level) locationGet directions
Mailing address
4036 Dutchmans Ln
Louisville, KY 40207-4704
Registry dates
- Enumerated
- 2021-04-19
- Last updated
- 2021-04-19
- Certified
- 2021-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.