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Organization

PADUCAH OPHTHALMOLOGY ASC LLC

Active
Other names
The Eye Surgery Center of Paducah
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization

Contact information

Practice address
100 MEDICAL CENTER DR, PADUCAH, KY 42003-7909
(270) 442-1024
(270) 442-1001
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(270) 442-1024
(270) 442-1001

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
300083
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000231770
ANTHEM BLUE CROSS BLUE SH
KY
05
36001212
KY
Enumeration date
02/10/2006
Last updated
05/03/2022
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