Organization
MADISONVILLE DISCOUNT EYEWEAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MEL LEN DUKES OPTICAN (OWNER / OPTICAN)
(270) 452-2197
Entity
Organization
Contact information
Practice address
401 MADISON SQUARE DR STE 30, MADISONVILLE, KY 42431-2774
(270) 452-2197
(270) 825-1026
Mailing address
401 MADISON SQUARE DR STE 30, MADISONVILLE, KY 42431-2774
(270) 452-2197
(270) 825-1026
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
1095
KY
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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