Organization
WM. DWAYNE SIZEMORE, O.D., PSC
Active
Other names
Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM DWAYNE SIZEMORE O.D. (OWNER)
(606) 436-2020
Entity
Organization
Contact information
Practice address
161 CITIZENS LN, HAZARD, KY 41701-1352
(606) 436-3313
(606) 436-2020
Mailing address
161 CITIZENS LN, HAZARD, KY 41701-1352
(606) 436-3313
(606) 436-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
968DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77901627
—
KY
Enumeration date
06/18/2007
Last updated
03/07/2008
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