Organization
THE OPHTHALMOLOGY GROUP LLP
Active
Parent organization
THE OPHTHALMOLOGY GROUP LLP
Other names
Keene Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE OPHTHALMOLOGY GROUP LLP
Authorized official
JEFF JOHNSON M.D. (SENIOR PARTNER)
(270) 442-1671
Entity
Organization
Contact information
Practice address
1900 BROADWAY ST, SUITE 1, PADUCAH, KY 42001-7158
(270) 443-2020
Mailing address
1900 BROADWAY ST, SUITE 1, PADUCAH, KY 42001-7158
(270) 443-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/23/2006
Last updated
03/10/2008
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