Organization
EYEMART FAMILY VISION CARE INC
Active
Parent organization
EYE MART FAMILY VISION CARE INC
Other names
Eye Mart
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE MART FAMILY VISION CARE INC
Authorized official
DR. TERRY L GOODMAN O.D. (PHYSICIAN / OWNER)
(502) 499-2020
Entity
Organization
Contact information
Practice address
100 HIGHWAY 15 S, SUITE 108, JACKSON, KY 41339-8636
(606) 666-4585
(606) 666-4583
Mailing address
9501 TAYLORSVILLE RD STE 106, JEFFERSONTOWN, KY 40299-2752
(606) 666-4585
(606) 666-4583
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100074570
—
KY
Enumeration date
02/06/2009
Last updated
04/04/2019
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