Organization
WWR, PSC
Active
Other names
Georgetown Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM W. RICHARDSON II M.D. (PRESIDENT)
(859) 321-1029
Entity
Organization
Contact information
Practice address
103 S BRADFORD LN, GEORGETOWN, KY 40324-2336
(859) 321-1029
Mailing address
1299 STANDISH WAY, LEXINGTON, KY 40504-2045
(859) 523-3553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1845DT
KY
207W00000X
Ophthalmology Physician
38932
KY
207W00000X
Ophthalmology Physician
45851
KY
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2006
Last updated
02/18/2014
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