Soderling Eye Care, Psc | |
136 E Main Cross St, Greenville, KY 42345-1576 | |
(270) 338-9636 | |
Not Available |
Full Name | Soderling Eye Care, Psc |
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Type | Facility |
Speciality | Optometrist |
Location | 136 E Main Cross St, Greenville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1063798957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | John M Soderling |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225029556 PECOS PAC ID: 6406849173 Enrollment ID: I20040407000883 |
Mailing Address | Practice Location Address |
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Soderling Eye Care, Psc 136 E Main Cross St, Greenville, KY 42345-1576 Ph: () - | Soderling Eye Care, Psc 136 E Main Cross St, Greenville, KY 42345-1576 Ph: (270) 338-9636 |
Dr. John Michael Soderling, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 136 E Main Cross St, Greenville, KY 42345 Phone: 270-338-9636 Fax: 270-338-9639 | |
Larry Tarter, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 224 Hopkinsville St, Greenville, KY 42345 Phone: 270-338-2400 Fax: 270-338-2402 |