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Organization

C EYE CARE PLLC

Active
Other names
Elizabethtown Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CRISTINA VILLANUEVA PATRICK O.D. (OWNER)
(502) 418-5677
Entity
Organization

Contact information

Practice address
103 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 769-1397
(270) 765-4899
Mailing address
103 DIECKS DR, ELIZABETHTOWN, KY 42701-2444
(270) 769-1397
(270) 765-4899

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1493DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77000222
KY
Enumeration date
10/23/2015
Last updated
03/07/2023
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