# SUCCESS VISION EXPRESS OF PADUCAH, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Success Vision Express of Paducah
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851912687
- **Authorized official:** CAMERON PICKENS (INSURANCE OPERATIONS MANAGER)
- **Authorized official phone:** (918) 895-1700

## Contact information

- **Practice address:** 467 JORDAN DR, SUITE 102, PADUCAH, KY 42001
- **Practice address phone:** (270) 770-2020
- **Practice address fax:** (270) 770-2020
- **Mailing address:** 5312 W 41ST ST, TULSA, OK 74107-6110
- **Mailing address phone:** (918) 895-1700
- **Mailing address fax:** (877) 464-4002

## Taxonomy

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

## Other

- **Enumeration date:** 05/04/2020
- **Last updated:** 05/04/2020