Organization
SUMMERS OPTICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA J SUMMERS (PRESIDENT)
(270) 886-8928
Entity
Organization
Contact information
Practice address
209 W 15TH ST, HOPKINSVILLE, KY 42240-2035
(270) 886-8928
(270) 886-4773
Mailing address
PO BOX 704, HOPKINSVILLE, KY 42241-0704
(270) 886-8928
(270) 886-4773
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000215307
ANTHEM BCBS
KY
01
—
32417
AVESIS
KY
05
—
52800968
—
KY
01
—
KY0683
EYEMED
KY
Enumeration date
01/08/2007
Last updated
08/17/2015
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