Four Rivers Vision Therapy, Pllc

NPI #1508255464 in Paducah, Kentucky

Provider Information

NPI Number: 1508255464
Entity Type: Organization
Organization Name: Four Rivers Vision Therapy, Pllc
Primary Specialty: Optometrist
Enumeration Date: Jan 15, 2015
Last Updated: Jan 15, 2015

Practice Location

Address: 4570 PECAN DR
Address 2: SUITE C
City: Paducah
State: Kentucky
ZIP Code: 42001-6717
Phone: (270) 558-4741

Authorized Official

Name: DR. CANAAN MATTHEW MONTGOMERY, OD
Title: OWNER
Phone: (270) 558-4741

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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