Individual
STEVEN K BIRGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
22 EXECUTIVE DR, TOMPKINSVILLE, KY 42167-7478
(270) 487-5741
(270) 487-9664
Mailing address
22 EXECUTIVE DR, TOMPKINSVILLE, KY 42167-7478
(270) 487-5741
(270) 487-9664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1101DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000199522
BCBS
—
01
—
03322
SPECTERA
—
01
—
1386776169
MEDICARE GROUP
KY
05
—
1386776169
—
KY
05
—
1801894340
—
KY
01
—
410049286
RR MEDICARE
—
01
—
5940
DAVIS VISION
—
05
—
77011013
—
KY
01
—
8846
MEDICARE P-10
KY
Enumeration date
07/08/2005
Last updated
01/10/2017
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