| Eye Health Specialists Ii, Pllc | |
|
713 E Main St, Stanford, KY 40484-1404 | |
| (606) 365-3220 | |
| (606) 365-3166 |
| Full Name | Eye Health Specialists Ii, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 713 E Main St, Stanford, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578502258 | NPI | - | NPPES |
| 77904068 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1544DT (Kentucky) | Primary |
| 152WV0400X | Optometrist - Vision Therapy | 1544DT (Kentucky) | Secondary |
| Provider Name | Tamela M Brown-murray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912945759 PECOS PAC ID: 2567474687 Enrollment ID: I20060608000009 |
| Provider Name | Joshua E Nichols |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962440784 PECOS PAC ID: 2163316498 Enrollment ID: I20060608000016 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Health Specialists Ii, Pllc 713 E Main St., Stanford, KY 40484 Ph: (606) 365-3220 | Eye Health Specialists Ii, Pllc 713 E Main St, Stanford, KY 40484-1404 Ph: (606) 365-3220 |
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