Organization
PROFESSIONAL EYECARE, P.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL MANN OD (OWNER)
(606) 789-4675
Entity
Organization
Contact information
Practice address
341 COURT ST, PAINTSVILLE, KY 41240-1051
(606) 789-4675
(606) 789-3262
Mailing address
341 COURT ST, PAINTSVILLE, KY 41240-1051
(606) 789-4675
(606) 789-3262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0842338
UMWA HEALTH & RETIREMENT
KY
05
—
77900660
—
KY
Enumeration date
03/15/2007
Last updated
12/10/2019
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