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Contact Information

SITES VISION CLINIC
81 PUBLIC SQUARE AVE.
ELKTON, KY42220
 Phone: 270-265-9036
 Fax: 270-265-0013
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SITES VISION CLINIC · (Female)

NPI # 1881711786
Status Active
Credentials
Entity Individual
Enumeration date 03/23/2007
Last updated 06/20/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 1362DT
  • KY Medicaid 7100158860
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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