National Provider Identifier Database

PCD MANAGEMENT OF PADUCAH LLC
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

PCD MANAGEMENT OF PADUCAH, LLC
467 JORDAN DRIVE
SUITE 101
PADUCAH, KY42001
Phone: 270-297-2020
Fax:
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X

* Indicates primary specialty

NPI Profile & details for PCD MANAGEMENT OF PADUCAH, LLC

NPI Number 1659998524
Legal business name
LBN
PCD MANAGEMENT OF PADUCAH, LLC
Authorized official CALEB TANCK - (CREDENTIALING AGENT)
Entity Organization
Organization subpart No
Enumeration date 06/26/2020
Last updated 10/22/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers n/a

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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