Organization
MINIX ONE HOUR OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC S MINIX DO (OWNER)
(606) 789-2020
Entity
Organization
Contact information
Practice address
212 GLENVIEW PLAZA, PRESTONSBURG, KY 41653
(606) 789-2020
Mailing address
PO BOX 1687, PAINTSVILLE, KY 41240-5687
(606) 789-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77900702
—
KY
Enumeration date
07/11/2008
Last updated
07/11/2008
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