| |
1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 | |
(270) 789-2023 | |
(270) 465-5361 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1800 Old Lebanon Rd, Campbellsville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558611178 | 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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1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 Ph: (270) 789-2023 | 1800 Old Lebanon Rd, Campbellsville, KY 42718-9663 Ph: (270) 789-2023 |