Organization
CALVERT OPTHALMOLOGY PSC
Active
Organization
CALVERT OPTHALMOLOGY PSC
Active
Other names
CALVERT OPHTHALMOLOGY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD M CALVERT I M.D. (PRESIDENT)
(270) 886-2050
Entity
Organization
Contact information
Practice address
100 KEETON DR., HOPKINSVILLE, KY 42240-1746
(270) 886-2050
(270) 886-2007
Mailing address
100 KEETON DR, HOPKINSVILLE, KY 42240
(270) 886-2050
(270) 886-2007
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36511
KY
207W00000X
Ophthalmology Physician
MD0000035976
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180045298
RAILROAD MEDICARE
TN
05
—
3879306
—
TN
05
—
64031669
—
KY
Enumeration date
03/03/2008
Last updated
07/06/2020
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