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Organization

PUCKETT FAMILY EYE CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL K PUCKETT OD (PRESIDENT)
(859) 744-4429
Entity
Organization

Contact information

Practice address
225 HOSPITAL DR STE 160, WINCHESTER, KY 40391-7635
(859) 744-4429
(859) 744-3941
Mailing address
225 HOSPITAL DR STE 160, WINCHESTER, KY 40391-7635
(859) 744-4429
(859) 745-7702

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1190DT
KY

Other

Enumeration date
12/13/2006
Last updated
07/22/2024
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