Organization
SOUTH EAST EYECARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A NICHOLAS ABOC (OPTICIAN)
(606) 528-7336
Entity
Organization
Contact information
Practice address
1707 FALLS ROAD PLAZA, SUITE U-4, CORBIN, KY 40701
(606) 528-7336
(606) 523-9189
Mailing address
1707 FALLS ROAD PLAZA, SUITE U-4, CORBIN, KY 40701
(606) 528-7336
(606) 523-9189
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
165742
KY
Other
Enumeration date
06/19/2007
Last updated
08/22/2020
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