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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

NPI # 1770649188
LBN Legal business name OWENSBORO EYECARE CENTER PLLC
Authorized official CHARLES HECK - (PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/29/2006
Last updated 07/26/2016 - About 10 years ago
Identifiers
KY License # 763DT
KY License # 945DT
KY Medicaid 77904019
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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