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325 W Walnut St, Ste 400, Lebanon, KY 40033-1377 | |
| (636) 200-4393 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 325 W Walnut St, Lebanon, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366520702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1097DT (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 207170, Dallas, TX 75320-7156 Ph: (636) 200-4393 | 325 W Walnut St, Ste 400, Lebanon, KY 40033-1377 Ph: (636) 200-4393 |
Dr. Paul G Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 | |
Amanda M Ballard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St, Ste400, Lebanon, KY 40033 Phone: 502-955-2020 Fax: 502-736-4490 | |
Jacqueline Powell, Optometrist Medicare: Medicare Enrolled Practice Location: 325 W Walnut St, Lebanon, KY 40033 Phone: 270-867-8200 Fax: 502-916-3010 | |
Dr. Patricia Mary Hollingsworth-cecconi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 | |
Central Kentucky Optometric Associates Psc Optometrist Medicare: Medicare Enrolled Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 |