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Organization
EYECARE NETWORK LTD
Active
Organization
EYECARE NETWORK LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN NEAL PRATER M.D. (OWNER)
(606) 759-5341
Entity
Organization
Contact information
Practice address
1360 MEDICAL PARK DR, MAYSVILLE, KY 41056-9621
(606) 759-5341
Mailing address
1360 MEDICAL PARK DR, MAYSVILLE, KY 41056-9621
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
207W00000X
Ophthalmology Physician
—
NULL
207W00000X
Ophthalmology Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65928087
—
KY
Enumeration date
05/30/2007
Last updated
10/12/2017
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