Organization
KENTUCKY PHYSICIANS EYECARE GROUP, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA JACKSON (SENIOR REVENUE CYCLE MANAGER)
(561) 208-1591
Entity
Organization
Contact information
Practice address
1680 CAMPBELL LN STE 104, BOWLING GREEN, KY 42104-1062
(270) 512-2500
(270) 512-2555
Mailing address
1615 S CONGRESS AVE STE 105, DELRAY BEACH, FL 33445-6326
(561) 433-6009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/04/2023
Last updated
11/17/2025
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