Healthcare Provider Details

I. General information

NPI: 1285100768
Provider Name (Legal Business Name): JENNIFER B. COMPTON & ASSOCIATES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2018
Last Update Date: 01/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 E MOUNT VERNON ST STE 1
SOMERSET KY
42501-1338
US

IV. Provider business mailing address

709 E MOUNT VERNON ST STE 1
SOMERSET KY
42501-1338
US

V. Phone/Fax

Practice location:
  • Phone: 859-494-0555
  • Fax:
Mailing address:
  • Phone: 606-679-5177
  • Fax: 606-678-9200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER BROWN COMPTON
Title or Position: OPTOMETRIST/OWNER
Credential: OD
Phone: 859-494-0555