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Organization

ADVANCED EYECARE ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT L COTTINGHAM O.D. (DOCTOR OF OPTOMETRY)
(270) 826-9966
Entity
Organization

Contact information

Practice address
1997 BARRETT CT, HENDERSON, KY 42420-2667
(270) 826-9966
(270) 827-1206
Mailing address
1997 BARRETT CT, HENDERSON, KY 42420-2667
(270) 826-9966
(270) 827-1206

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1622DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100027330
KY
Enumeration date
11/19/2008
Last updated
11/19/2008
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