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Contact Information

SOUTHERN KENTUCKY EYE CENTER PSC
120 TRADEPARK DR
SUITE A
SOMERSET, KY42503-3454
 Phone: 606-679-7778
 Fax: 606-451-1814
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for SOUTHERN KENTUCKY EYE CENTER PSC

NPI Number 1285776476
LBN Legal business name SOUTHERN KENTUCKY EYE CENTER PSC
Authorized official TERRI COOMER - (BILLING DEPT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 07/16/2019 - About 7 years ago
Identifiers
KY Medicaid 65928939
TN Medicaid 4020794
Other 180028760 RAILROAD MEDICARE
KY Other 000000041743 BLUECROSS BLUE SHIELD
KY Other 1520956 UMWA
TN Other 3061400 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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