Organization
MAYFIELD FAMILY EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY BUGG O.D. (OWNER/DOCTOR)
(270) 247-5532
Entity
Organization
Contact information
Practice address
107 W BROADWAY, MAYFIELD, KY 42066
(270) 247-5532
(270) 247-0245
Mailing address
333 S 6TH ST, MAYFIELD, KY 42066-2309
(270) 247-5532
(270) 247-0245
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1864DT
KY
Other
Enumeration date
03/30/2012
Last updated
06/13/2018
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