Individual
DR. PAUL LEE PATTERSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
295 CAMPBELLSVILLE BYPASS, STE 1, CAMPBELLSVILLE, KY 42718
(270) 465-4677
(270) 465-4677
Mailing address
295 CAMPBELLSVILLE BYPASS, STE 1, CAMPBELLSVILLE, KY 42718
(270) 465-4677
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1011DT
KY
152WV0400X
Vision Therapy Optometrist
1011DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0465020001
MEDICARE DME
KY
05
—
77010114
—
KY
Enumeration date
06/30/2006
Last updated
02/14/2011
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