Organization
PCD MANAGEMENT OF PADUCAH, LLC
Active
Other names
Success Vision Eyecare of Paducah, LLC, PCD Management of Paducah
Organization subpart
No
Provider details
NPI number
Authorized official
CALEB TANCK (CREDENTIALING AGENT)
(539) 476-2015
Entity
Organization
Contact information
Practice address
467 JORDAN DRIVE, SUITE 101, PADUCAH, KY 42001
(270) 297-2020
Mailing address
5312 W 41ST ST, TULSA, OK 74107-6110
(918) 895-1700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
Other
Enumeration date
06/26/2020
Last updated
10/22/2025
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