Organization
CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC
Active
Parent organization
CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC
Other names
Uptown EyeCare
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL KENTUCKY OPTOMETRIC ASSOCIATES PSC
Authorized official
DR. PATRICIA MARY HOLLINGSWORTH-CECCONI OD (OPTOMETRIST/SECRETARY/TREASURER)
(270) 692-1871
Entity
Organization
Contact information
Practice address
1578 HIGHWAY 44 E UNIT 7, SHEPHERDSVILLE, KY 40165-7172
(502) 543-0646
(502) 543-0648
Mailing address
310 W HIGH ST, LEBANON, KY 40033-1428
(270) 692-1871
(270) 692-6785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558558361
RAILROAD MEDICARE
KY
Enumeration date
09/26/2007
Last updated
01/26/2009
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