Organization
EYECARE CENTER OF PRINCETON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL A TALLEY O.D. (OWNER)
(270) 365-6627
Entity
Organization
Contact information
Practice address
101 E SHEPARDSON ST, PRINCETON, KY 42445-1633
(270) 365-6627
(270) 365-7700
Mailing address
PO BOX 683, PRINCETON, KY 42445-0683
(270) 365-6627
(270) 365-7700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
933 DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100384690
—
KY
01
—
933 DT
KY LICENSE NUMBER
KY
Enumeration date
09/01/2006
Last updated
03/29/2016
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