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Contact Information

JEFFREY S OSBORNE, OD
3469 N. MAYO TRAIL
PIKEVILLE, KY41501
 Phone: 606-437-7702
 Fax: 606-437-2307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for JEFFREY S OSBORNE · (Male)

NPI # 1003960634
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/22/2007
Last updated 03/04/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • KY License # 1230- DT
  • KY License # 1230-DT
  • KY Medicaid 1003960634
  • KY Medicaid 77012300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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