Provider Demographics
NPI:1669217600
Name:SHOWALTER D'ARSIE, ALEXIS (OD)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:SHOWALTER D'ARSIE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:
Other - Last Name:SHOWALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:104 AMERSON ORCHARD RD APT 201
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40324-8348
Mailing Address - Country:US
Mailing Address - Phone:314-277-0537
Mailing Address - Fax:
Practice Address - Street 1:110 CONN TER STE 550
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-3206
Practice Address - Country:US
Practice Address - Phone:859-323-5867
Practice Address - Fax:859-323-8510
Is Sole Proprietor?:No
Enumeration Date:2024-07-01
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2405DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist