Organization
PHYSICIANS EYE CENTER OF OWENSBORO, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER D. LATHAM (OFFICE MANAGER)
(270) 926-3297
Entity
Organization
Contact information
Practice address
2845 FARRELL CRESCENT, OWENSBORO, KY 42303
(270) 926-3297
(270) 926-7325
Mailing address
2845 FARRELL CRESCENT, OWENSBORO, KY 42303
(270) 926-3297
(270) 926-7325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
—
KY
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65905556
—
KY
Enumeration date
07/14/2005
Last updated
07/21/2022
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