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Contact Information

OWENSBORO EYECARE CENTER PLLC
1705 FREDERICA ST
OWENSBORO, KY42301-4814
 Phone: 270-683-2121
 Fax: 270-683-3167
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for OWENSBORO EYECARE CENTER PLLC · (Female)

NPI Number 1770649188
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2006
Last updated 07/26/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 763DT
  • KY License # 945DT
  • KY Medicaid 77904019
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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