Peggy Lynn Dunn
Individual provider Active NPI Optician · Cynthiana, KY
NPI 1124757547 · NPPES record last updated Jun 9, 2022
Key facts
- NPI
- 1124757547
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 111906 (KY)
- Practice address
- 805 US Highway 27 S
Cynthiana, KY 41031-6888 - Phone
- (859) 234-6190
- NPI assigned
- Jun 9, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111906 | KY | MD | Optician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 111906 | KY | Yes |
Addresses
Primary practice location
805 US Highway 27 S
Cynthiana, KY 41031-6888
Mailing address
805 US Highway 27 S
Cynthiana, KY 41031-6888
Phone (859) 234-6190
Other providers in Cynthiana, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.