# SOUTH EAST EYECARE PSC

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

## Provider details

- **NPI number:** 1609071679
- **Authorized official:** MRS. LISA A NICHOLAS ABOC (OPTICIAN)
- **Authorized official phone:** (606) 528-7336

## Contact information

- **Practice address:** 1707 FALLS ROAD PLAZA, SUITE U-4, CORBIN, KY 40701
- **Practice address phone:** (606) 528-7336
- **Practice address fax:** (606) 523-9189
- **Mailing address:** 1707 FALLS ROAD PLAZA, SUITE U-4, CORBIN, KY 40701
- **Mailing address phone:** (606) 528-7336
- **Mailing address fax:** (606) 523-9189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | 165742 | KY | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 08/22/2020