Organization
EYECARE CENTER OPTOMETRIST PSC
Active
Parent organization
EYE CARE CENTER OPTOMETRIST PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EYE CARE CENTER OPTOMETRIST PSC
Authorized official
DR. WILLIAM T REYNOLDS JR. OD (OWNER)
(859) 623-3358
Entity
Organization
Contact information
Practice address
201 CHAMPION WAY, STE 1, GEORGETOWN, KY 40324-8828
(502) 863-2020
(502) 867-4938
Mailing address
1020 GIBSON BAY DR, RICHMOND, KY 40475-3448
(859) 623-3358
(859) 623-3358
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1069DT
KY
Other
Enumeration date
09/19/2007
Last updated
11/12/2008
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