Organization
TODD MCGEORGE O.D.
Active
Other names
Clear Vision Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD MARVIN MCGEORGE O.D. (OWNER)
(606) 242-2278
Entity
Organization
Contact information
Practice address
2131 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2830
(606) 242-2278
(606) 242-2270
Mailing address
2131 CUMBERLAND AVE, MIDDLESBORO, KY 40965-2830
(606) 242-2278
(606) 242-2270
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1298DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77901155
—
KY
Enumeration date
12/20/2007
Last updated
06/12/2008
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