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Organization

OWENSBORO EYECARE CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES D HECK O.D. (PARTNER)
(270) 683-2121
Entity
Organization

Contact information

Practice address
1705 FREDERICA ST, OWENSBORO, KY 42301-4814
(270) 683-2121
(270) 683-3167
Mailing address
1705 FREDERICA ST, OWENSBORO, KY 42301-4814
(270) 683-2121
(270) 683-3167

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
763DT
KY
152W00000X
Optometrist
Primary
945DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77904019
KY
Enumeration date
12/29/2006
Last updated
07/26/2016
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