Eyecare Center Of Princeton Pllc | |
101 E Shepardson St, Princeton, KY 42445-1633 | |
(270) 365-6627 | |
(270) 365-7700 |
Full Name | Eyecare Center Of Princeton Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 101 E Shepardson St, Princeton, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790897924 | NPI | - | NPPES |
7100384690 | Medicaid | KY | |
933 DT | Other | KY | KY LICENSE NUMBER |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 933 DT (Kentucky) | Primary |
Provider Name | Jennifer Jo Martin Lane |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932381654 PECOS PAC ID: 2264483130 Enrollment ID: I20050208000779 |
Provider Name | Daniel A Talley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285621896 PECOS PAC ID: 4688657125 Enrollment ID: I20080515000159 |
Mailing Address | Practice Location Address |
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Eyecare Center Of Princeton Pllc Po Box 683, Princeton, KY 42445-0683 Ph: (270) 365-6627 | Eyecare Center Of Princeton Pllc 101 E Shepardson St, Princeton, KY 42445-1633 Ph: (270) 365-6627 |
Dr. Daniel A Talley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 E Shepardson St, Princeton, KY 42445 Phone: 270-365-6627 Fax: 270-365-7700 | |
Eyecare Center Optometrist Medicare: Medicare Enrolled Practice Location: 101 E Shepardson St, Princeton, KY 42445 Phone: 270-365-6627 Fax: 270-365-7700 | |
Dr. Sarah C Parker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 E Shepardson St, Princeton, KY 42445 Phone: 270-365-6627 Fax: 270-365-7700 |