Organization
MOUNTAIN EYE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD CLIF GREGORY OD (PRESIDENT)
(606) 546-8822
Entity
Organization
Contact information
Practice address
620 OLD 25E, BARBOURVILLE, KY 40906
(606) 546-8822
(606) 546-6876
Mailing address
620 OLD 25E, BARBOURVILLE, KY 40906
(606) 546-8822
(606) 546-6876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1260DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7701260700
—
KY
Enumeration date
01/03/2007
Last updated
08/13/2008
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