Individual
MR. TODD MARVIN MCGEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1431 CUMBERLAND AVE, MIDDLESBORO, KY 40965-1117
(606) 248-7772
(606) 248-0575
Mailing address
601 PERIMETER DR STE 200, LEXINGTON, KY 40517-4121
(859) 278-9393
(859) 278-0923
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1298DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000107
—
KY
Enumeration date
01/20/2006
Last updated
10/12/2018
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