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) 785-3274
Entity
Organization
Contact information
Practice address
108 HOLLY HILLS MALL, HINDMAN, KY 41822-9086
(606) 785-3274
(606) 785-5599
Mailing address
108 HOLLY HILLS MALL, HINDMAN, KY 41822-9086
(606) 785-3274
(606) 785-5599
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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