IndividualActive
Devin Mcmenama
NPI 1689304974 · Optician · Berea, KY
Provider details
- NPI number
- 1689304974
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 110624 (KY)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
120 Jill Dr
Berea, KY 40403-1677
Phone: (859) 985-7423
Approximate (ZIP-level) locationGet directions
Mailing address
120 Jill Dr
Berea, KY 40403-1677
Registry dates
- Enumerated
- 2022-06-10
- Last updated
- 2022-06-10
- Certified
- 2022-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.