| |
1541 Lebanon Rd Ste 2, Danville, KY 40422-9601 | |
(859) 239-4500 | |
(859) 239-4515 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1541 Lebanon Rd Ste 2, Danville, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487116471 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 990, Danville, KY 40423-0990 Ph: (859) 239-2360 | 1541 Lebanon Rd Ste 2, Danville, KY 40422-9601 Ph: (859) 239-4500 |