Individual
DR. MAX MITCHELL DOWNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
301 BURKESVILLE ST, COLUMBIA, KY 42728-1921
(270) 384-6043
(270) 384-0672
Mailing address
301 BURKESVILLE ST, COLUMBIA, KY 42728-1921
(270) 384-6043
(270) 384-0672
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
979DT
KY
332H00000X
Eyewear Supplier
KY979DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0738910001
JURISDICTION B DMEMAC
KY
01
—
1841253424
GROUP NPI
KY
05
—
77009793
—
KY
05
—
77904126
—
KY
Enumeration date
08/09/2005
Last updated
09/16/2011
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