Organization
WELLS EYE CENTER INC
Active
Other names
Logan Eye Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THAD DUSTIN WELLS O.D. (OPTOMETRISTS/OWNER)
(270) 726-2022
Entity
Organization
Contact information
Practice address
105 ROBINS WAY, SUITE 206, RUSSELLVILLE, KY 42276-1129
(270) 726-2022
Mailing address
105 ROBINS WAY, SUITE 206, RUSSELLVILLE, KY 42276-1129
(270) 726-2022
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1770DT
KY
Other
Enumeration date
08/17/2009
Last updated
01/20/2010
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