| |
390 Old Gallatin Rd, Scottsville, KY 42164-8954 | |
(270) 237-5434 | |
(270) 237-3529 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 390 Old Gallatin Rd, Scottsville, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659594992 | NPI | - | NPPES |
06623 | Other | KY | SPECTERA |
77903219 | Medicaid | KY | |
5368825900118 | Other | KY | NATIONAL VISION ADMINIST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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P.o. Box 480, 390 Old Gallatin Rd, Scottsville, KY 42164-8954 Ph: (270) 237-5434 | 390 Old Gallatin Rd, Scottsville, KY 42164-8954 Ph: (270) 237-5434 |
Mark D Ross, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 330 Franklin Rd, Scottsville, KY 42164 Phone: 270-237-3871 Fax: 270-237-5057 |