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NPI Code Detail

MEDICARE: GRACE ZOBEL

MEDICARE: GRACE ZOBEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist18004686BIN

General Provider Information

NPI Number : 1528903655
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRACE ZOBEL
Provider Business Mailing Address
First Line : 6612 FARMINGTON LN
Second Line :
City : CRESTWOOD
State : KY
Zip : 40014-9029
Country : US
Telephone Number : 502-381-2383
Fax Number :
Provider Business Practice Location Address
First Line : 4202 POPLAR LEVEL RD
Second Line :
City : LOUISVILLE
State : KY
Zip : 40213-1528
Country : US
Telephone Number : 502-459-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2026
Last Update Date : 06/30/2026

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Directions to “ GRACE ZOBEL ” Practice Location

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