Individual
DR. JEFFERY LEE CREECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
330 W MAIN ST, PARIS, KY 40361-2006
(859) 987-2292
(859) 987-2302
Mailing address
PO BOX 162, PARIS, KY 40362-0162
(859) 987-2292
(859) 987-2302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
799DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410008402
RAILROAD MEDICARE
KY
05
—
77007995
—
KY
Enumeration date
12/27/2006
Last updated
10/08/2013
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