Eyecare Center Optometrist Psc

NPI #1619163169 in Georgetown, Kentucky

Provider Information

NPI Number
1619163169
Entity Type
Organization
Organization Name
Eyecare Center Optometrist Psc
Subpart
Yes (part of a larger organization)
Parent Organization
EYE CARE CENTER OPTOMETRIST PSC
Primary Specialty
Optometrist
Enumeration Date
Sep 19, 2007
Last Updated
Nov 12, 2008

Practice Location

Address
201 CHAMPION WAY
Address 2
STE 1
ZIP Code
40324-8828
Phone
(502) 863-2020

Authorized Official

Name
DR. WILLIAM T REYNOLDS JR., OD
Title
OWNER
Phone
(859) 623-3358

Specialties & Taxonomy Codes

Specialty
Optometrist

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