Organization
MARION EYE CARE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIA N. PORTER O.D. (OWNER)
(270) 965-5280
Entity
Organization
Contact information
Practice address
713 S MAIN ST, MARION, KY 42064-1807
(270) 965-5280
(270) 965-9194
Mailing address
PO BOX 414, MARION, KY 42064-0414
(270) 965-5280
(270) 965-9194
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1619DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100039040
—
KY
Enumeration date
08/25/2006
Last updated
03/09/2009
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