Individual
ERIC N KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
101 US HIGHWAY 150 BYP, SUITE 117, STANFORD, KY 40484-1034
(606) 365-2195
(606) 365-2195
Mailing address
101 US HIGHWAY 150 BYP, SUITE 117, STANFORD, KY 40484-1034
(606) 365-2195
(606) 365-2195
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KY1294DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5281470001
PALMETTO PROVIDER ID
KY
05
—
77012946
—
KY
Enumeration date
12/22/2006
Last updated
11/18/2014
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