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Organization

DOWNEY EYE CLINIC, PLLC

Active
Other names
Downey Eye Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
JACOB BURTON OD (OWNER)
(270) 384-6043
Entity
Organization

Contact information

Practice address
1463 CAMPBELLSVILLE RD, COLUMBIA, KY 42728-2263
(270) 384-6043
(270) 384-0672
Mailing address
1463 CAMPBELLSVILLE RD, COLUMBIA, KY 42728-2263
(270) 384-6043
(270) 384-0672

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77904126
KY
01
9801
MEDICARE PTAN GROUP
KY
01
P00286828
MEDICARE RAILROAD CARRIER
KY
Enumeration date
04/06/2006
Last updated
07/01/2024
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