Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Andrea Gardner

Individual provider Optician · NPI 1104541275

Andrea Gardner is an Optician in Campbellsville, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022
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Practice location Address checks out

725 Campbellsville Byp
Campbellsville, KY 42718-8846
Phone: (270) 789-0584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 109976 (KY)

Record details

NPI number1104541275
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 11, 2022
Last updated in NPPESOctober 11, 2022
Certification dateOctober 11, 2022
Mailing address725 Campbellsville Byp, Campbellsville, KY 42718-8846

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