Organization
EYE CENTERS OF SOUTHEAST KENTUCKY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN TREVOR BRISCOE M.D. (PROVIDER, OWNER)
(606) 526-0433
Entity
Organization
Contact information
Practice address
1490 CUMBERLAND FALLS HWY, CORBIN, KY 40701-2721
(606) 526-0433
(606) 526-0434
Mailing address
1470 CUMBERLAND FALLS HWY, CORBIN, KY 40701
(606) 526-0433
(606) 526-0434
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3725388
—
TN
Enumeration date
08/30/2006
Last updated
10/28/2020
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