Organization
EYE CONSULTANTS OF KENTUCKY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM OFFUTT MD (PRESIDENT)
(502) 863-3436
Entity
Organization
Contact information
Practice address
120 N EAGLE CREEK DR STE 211, LEXINGTON, KY 40509-1827
(859) 263-3030
Mailing address
120 N EAGLE CREEK DR STE 211, LEXINGTON, KY 40509-1827
(859) 263-3030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15161
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6083
MEDICARE GROUP NUMBER
KY
Enumeration date
02/21/2008
Last updated
02/21/2008
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