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NPI 1801526850

IndividualActive

Blake Jenkins, LDO

NPI 1801526850 · Optician · Maysville, KY

Provider details

NPI number: 1801526850
Entity type: Individual
Primary specialty: OpticianEye and Vision Services Providers
Credential: LDO
Sex: Male
Sole proprietor: Yes
License: 168970 (KY)

Practice location

240 Wal Mart Way

Maysville, KY 41056-7516

Phone: (606) 759-0385

Fax: (606) 759-0259

More KY providers

Mailing address

240 Wal Mart Way

Maysville, KY 41056-7516

Registry dates

Enumerated: 2022-06-13
Last updated: 2022-06-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Blake Jenkins, LDO — NPI 1801526850, Maysville, KY | NPI Central