| Organization Name: | JOYCE C PECK |
| NPI Number: | 1225166895 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOYCE C PECK (OPTICIAN) |
| Mailing Address: | 1937 Old Main St Ste 2 Maysville |
| State: | KY US |
| Postal Code: | 410568956 |
| Phone Number: | 6067597311 |
| Fax Number: | 6067590610 |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 09/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 396 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |