Organization
ADVANTAGE EYE CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOMER ANDREW WARD O.D. (OPTOMETRIST)
(270) 683-2020
Entity
Organization
Contact information
Practice address
411 PARK PLAZA DR, OWENSBORO, KY 42301-5449
(270) 683-2020
(270) 686-0000
Mailing address
411 PARK PLAZA DR, OWENSBORO, KY 42301-5449
(270) 683-2020
(270) 686-0000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45001989
EPSDT NUMBER
KY
05
—
77903623
—
KY
Enumeration date
08/31/2005
Last updated
07/07/2009
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