Organization Name: | EYECARE NETWORK LTD |
NPI Number: | 1184747214 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUE PRATER (OFFICE MANAGER) |
Mailing Address: | 1360 Medical Park Dr Maysville |
State: | KY US |
Postal Code: | 410569621 |
Phone Number: | 6067595341 |
Fax Number: | 6067597393 |
NPI Enumeration Date: | 04/06/2007 |
NPI Last Update Date: | 04/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Ophthalmic |
Taxonomy Definition: |