Organization
MOONEY EYECARE CENTRE, PLLC
Active
Other names
Mooney EyeCare Centre
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LUTES MOONEY O.D. (SOLE MEMBER)
(502) 538-4632
Entity
Organization
Contact information
Practice address
327 EASTBROOKE DR # 100, MT WASHINGTON, KY 40047-5561
(502) 538-4362
(502) 538-3551
Mailing address
327 EASTBROOKE DR # 100, MT WASHINGTON, KY 40047-5561
(502) 538-4362
(502) 538-3551
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1714DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100026420
—
KY
Enumeration date
07/30/2007
Last updated
10/01/2014
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