Organization
BROADWAY EYE CARE ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHORYE PAYNE M.D. (PRESIDENT & CEO)
(502) 772-3625
Entity
Organization
Contact information
Practice address
2600 W BROADWAY STE 105, LOUISVILLE, KY 40211-1303
(502) 772-3625
(502) 772-3037
Mailing address
PO BOX 11744, LOUISVILLE, KY 40251-0744
(502) 772-3625
(502) 772-3037
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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