Puckett Family Eye Care, Pllc

NPI 1083775878 - Optometrist - 152W00000X

NPI Details
NPI 1083775878
Enumeration Date 12/13/2006
Last Updated 04/29/2013
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RANDALL K RANDALL
Position OWNER
Phone (859) 744-4429
Fax (859) 744-3941
Practice Location
1109 MCCANN DR
SUITE 2
WINCHESTER KY, 40391-1178, US
Phone (859) 744-4429
Fax (859) 744-3941
Business Location
1109 MCCANN DR
SUITE 2
WINCHESTER KY, 40391-1178, US
Phone (859) 744-4429
Fax (859) 744-3941
Toxanomy
Taxonomy Code 152W00000X
License State Kentucky
License Number 1190DT
Remove 1083775878 NPI Number
 

According to our database, Puckett Family Eye Care, Pllc NPI is 1083775878, taxonomy code is 152W00000X and license number is 1190DT, license state is located at Kentucky. Puckett Family Eye Care, Pllc physically located at 1109 Mccann Dr, Winchester KY, 40391-1178. NPI Number 1033115704 has the healthcare provider type.

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1083775878 NPI number is provided on an as is basis without warranty of any kind. 1083775878 is maintained by the National Plan & Provider Enumeration System. The contents of Puckett Family Eye Care, Pllc are for informational purposes only.