Corbin Optical Co INC

NPI #1164568028 in Corbin, Kentucky

Provider Information

NPI Number
1164568028
Entity Type
Organization
Organization Name
Corbin Optical Co INC
Primary Specialty
Eyewear Supplier
Enumeration Date
Jan 29, 2007
Last Updated
Jun 17, 2008

Practice Location

Address
107 KENTUCKY STREET
City
Corbin
ZIP Code
40701
Phone
(606) 528-2833

Authorized Official

Name
MR. LARRY THOMAS TATE, OPTICIAN
Title
PRESIDENT CORBIN OPTICAL
Phone
(606) 528-2833

Specialties & Taxonomy Codes

Specialty
Eyewear Supplier

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