| Pcd Management Of Paducah | |
|
467 Jordan Drive, Suite 101, Paducah, KY 42001 | |
| (270) 297-2020 | |
| Not Available |
| Full Name | Pcd Management Of Paducah |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 467 Jordan Drive, Paducah, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659998524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
| Provider Name | Kenneth W Hall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124025853 PECOS PAC ID: 1254387558 Enrollment ID: I20050330000310 |
| Provider Name | Bryan W Wood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275648677 PECOS PAC ID: 5597761221 Enrollment ID: I20210825001452 |
| Provider Name | Theodore K. Sullivan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437153772 PECOS PAC ID: 3971628017 Enrollment ID: I20230103001252 |
| Mailing Address | Practice Location Address |
|---|---|
| Pcd Management Of Paducah 5312 W 41st St, Tulsa, OK 74107-6110 Ph: (918) 895-1700 | Pcd Management Of Paducah 467 Jordan Drive, Suite 101, Paducah, KY 42001 Ph: (270) 297-2020 |
Hannah Ellis, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 60 Lakeview Dr, Paducah, KY 42001 Phone: 270-554-2000 Fax: 270-554-2989 | |
Austin Joseph Dias, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3910 Hinkleville Rd, Paducah, KY 42001 Phone: 270-443-2090 | |
Micah R Seilheimer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3340 Irvin Cobb Dr, Paducah, KY 42003 Phone: 270-441-7332 | |
Dr. Daniel O'connor, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4630 Village Square Dr, Paducah, KY 42001 Phone: 270-442-1671 | |
Dr. David N Tucker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1748 Broadway St, Paducah, KY 42001 Phone: 270-443-9955 Fax: 270-442-1469 | |
Fred Klutts Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3910 Hinkleville Rd, Paducah, KY 42001 Phone: 270-443-2090 Fax: 270-444-2086 | |
Justin Ray Travis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1748 Broadway St, Paducah, KY 42001 Phone: 270-443-9955 Fax: 270-442-1469 |