Organization
PEC HOLDING, PLLC
Active
Other names
River City Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN MORGAN PATRICK OD (MANAGER)
(502) 290-6444
Entity
Organization
Contact information
Practice address
10001 TAYLORSVILLE RD STE B, LOUISVILLE, KY 40299-3116
(502) 290-6444
(502) 290-5645
Mailing address
10001 TAYLORSVILLE RD STE B, LOUISVILLE, KY 40299-3116
(502) 290-6444
(502) 290-5645
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1488DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77903565
—
KY
01
—
DA9112
RR MEDICARE
KY
Enumeration date
04/26/2007
Last updated
06/26/2023
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