Organization
BLUEGRASS VISION GROUP OF MOREHEAD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN COLEMAN OD (OWNER)
(606) 727-2800
Entity
Organization
Contact information
Practice address
322 KROGER CTR, MOREHEAD, KY 40351-8895
(859) 498-4800
(859) 498-2021
Mailing address
25 STERLING WAY STE C, MT STERLING, KY 40353-1174
(606) 727-2800
(606) 727-2801
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100627530
—
KY
Enumeration date
08/14/2019
Last updated
03/05/2020
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