Organization
OWENSBORO FAMILY EYE CARE CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTY SHANE TRAYLOR OD (PRESIDENT)
(270) 683-2101
Entity
Organization
Contact information
Practice address
3310 PROFESSIONAL PARK DR., SUITE 101, OWENSBORO, KY 42303-4551
(270) 683-2101
(270) 683-2507
Mailing address
3310 PROFESSIONAL PARK DR., SUITE 101, OWENSBORO, KY 42303-4551
(270) 683-2101
(270) 683-2507
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77903599
—
KY
Enumeration date
03/22/2006
Last updated
10/15/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us