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Contact Information

MOUNTAIN EYE CARE CENTER
620 OLD 25E
BARBOURVILLE, KY40906
 Phone: 606-546-8822
 Fax: 606-546-6876
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MOUNTAIN EYE CARE CENTER

NPI Number 1144387697
LBN Legal business name MOUNTAIN EYE CARE CENTER
Authorized official HAROLD GREGORY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2007
Last updated 08/13/2008 - About 18 years ago
Identifiers
KY License # KY1260DT
KY Medicaid 7701260700
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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