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Organization
WWR, PSC
Active
Organization
WWR, PSC
Active
Other names
Georgetown Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W. RICHARDSON II M.D. (PRESIDENT)
(859) 321-1029
Entity
Organization
Contact information
Practice address
103 S BRADFORD LN, GEORGETOWN, KY 40324-2336
(859) 321-1029
Mailing address
1299 STANDISH WAY, LEXINGTON, KY 40504-2045
(859) 523-3553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1845DT
KY
207W00000X
Ophthalmology Physician
38932
KY
207W00000X
Ophthalmology Physician
45851
KY
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
06/02/2006
Last updated
02/18/2014
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