Organization
KY DOCTORS OF OPTOMETRY, PLLC
Active
Other names
Visionworks Doctors of Optometry, KY Doctors of Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT RUBESH O.D. (OWNER)
(726) 444-4078
Entity
Organization
Contact information
Practice address
3910 HINKLEVILLE ROAD, PADUCAH, KY 42001
(270) 443-2090
(270) 444-2086
Mailing address
PO BOX 846027, DALLAS, TX 75284-6027
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7790300300
—
KY
Enumeration date
10/24/2006
Last updated
10/14/2024
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