Organization
JEFFERY L CREECH PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY L CREECH O,D. (OWNER)
(859) 987-2292
Entity
Organization
Contact information
Practice address
330 MAIN ST, PARIS, KY 40361-2006
(859) 987-2292
(859) 987-2302
Mailing address
PO BOX 162, PARIS, KY 40362-0162
(859) 987-2292
(859) 987-2302
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
799DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77007995
—
KY
Enumeration date
10/08/2013
Last updated
10/08/2013
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