Organization
FAMILY VISION CARE LLC
Active
Other names
Sally M. Fife, OD
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY M FIFE OD (OWNER)
(270) 827-8681
Entity
Organization
Contact information
Practice address
300 9TH ST, HENDERSON, KY 42420-2751
(270) 827-8681
(270) 826-7687
Mailing address
300 9TH ST, HENDERSON, KY 42420-2751
(270) 827-8681
(270) 826-7687
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000190215
ANTHEM
KY
01
—
410009178
PALMETTO GBA
KY
05
—
77903672
—
KY
Enumeration date
03/08/2007
Last updated
11/13/2014
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