# LE CLAIR'S OPTICAL, PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013584648
- **Authorized official:** MR. BRANDON RAY BOWEN (PRESIDENT)
- **Authorized official phone:** (270) 351-5367

## Contact information

- **Practice address:** 171 E LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-1253
- **Practice address phone:** (270) 351-5367
- **Practice address fax:** (270) 319-4929
- **Mailing address:** 171 E LINCOLN TRAIL BLVD, RADCLIFF, KY 40160-1253
- **Mailing address phone:** (270) 351-5367
- **Mailing address fax:** (270) 319-4929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | — | NULL | Yes |
| 156FX1800X | Optician | — | — | Yes |

## Other

- **Enumeration date:** 06/10/2021
- **Last updated:** 06/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 108328 | KENTUCKY SALES & USE TAX ACCOUNT | KY |