| |
108 Holly Hills Mall, Hindman, KY 41822-9086 | |
(606) 785-3274 | |
(606) 785-5599 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 108 Holly Hills Mall, Hindman, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336344639 | NPI | - | NPPES |
77901627 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 968DT (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
108 Holly Hills Mall, Hindman, KY 41822-9086 Ph: (606) 785-3274 | 108 Holly Hills Mall, Hindman, KY 41822-9086 Ph: (606) 785-3274 |