Provider First Line Business Practice Location Address:
5000 SHELBYVILLE RD
Provider Second Line Business Practice Location Address:
J.C. PENNEY OPTICAL
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40207-3342
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-895-5373
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2007