Organization
MULTICARE EYE CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TROY WAYNE CRIST O.D. (DOCTOR)
(270) 825-3937
Entity
Organization
Contact information
Practice address
44 MCCOY AVE, MADISONVILLE, KY 42431-2867
(270) 825-3937
(270) 326-2020
Mailing address
1180 COLLEGE DR, MADISONVILLE, KY 42431-9181
(270) 825-3937
(270) 326-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1237DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1464026
UMWA FUNDS PIN
KY
01
—
3554179
AETNA PIN
KY
05
—
77012375
—
KY
05
—
77902104
—
KY
01
—
9346900
PHCS PIN
KS
Enumeration date
02/14/2007
Last updated
10/20/2021
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