Organization
20-20 EYECARE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CRAWFORD OD (PRESIDENT)
(502) 955-2020
Entity
Organization
Contact information
Practice address
215 CENTRAL AVE, SUITE 101, LOUISVILLE, KY 40208-1449
(502) 636-5766
(502) 736-4490
Mailing address
5855 RELIABLE PKWY, CHICAGO, IL 60686-0086
(502) 636-5766
(502) 736-4490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77904159
—
KY
Enumeration date
05/31/2006
Last updated
12/08/2010
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