Organization
JOYCE C PECK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE C PECK (OPTICIAN)
(606) 564-8794
Entity
Organization
Contact information
Practice address
1937 OLD MAIN ST, STE 2, MAYSVILLE, KY 41056-8956
(606) 759-7311
(606) 759-0610
Mailing address
PO BOX 54, WASHINGTON, KY 41096-0054
(606) 564-8794
(606) 759-0610
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
941
KY
332H00000X
Eyewear Supplier
079545
KY
332H00000X
Eyewear Supplier
Primary
2826372
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000537045
BCBS
KY
05
—
4295
—
KY
05
—
4296
—
KY
05
—
5200015500
—
KY
05
—
5200016300
—
KY
05
—
5280097600
—
KY
05
—
5290396000
—
KY
05
—
7100022560
—
KY
Enumeration date
03/02/2007
Last updated
01/31/2018
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