Provider Demographics
NPI:1447987805
Name:LOWE, PAMELA KAY (LICENSED OPTICIAN)
Entity type:Individual
Prefix:MISS
First Name:PAMELA
Middle Name:KAY
Last Name:LOWE
Suffix:
Gender:F
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1195 BARRET BLVD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:KY
Mailing Address - Zip Code:42420-7508
Mailing Address - Country:US
Mailing Address - Phone:270-831-8686
Mailing Address - Fax:270-831-8676
Practice Address - Street 1:1195 BARRET BLVD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-7508
Practice Address - Country:US
Practice Address - Phone:270-831-8686
Practice Address - Fax:270-831-8676
Is Sole Proprietor?:No
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
156FX1800X
KY111886156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician