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Organization

NEW LEXINGTON CLINIC, PSC

Active
Parent organization
NEW LEXINGTON CLINIC, PSC
Other names
Georgetown Optometric Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
NEW LEXINGTON CLINIC, PSC
Authorized official
RANDALL LEMAY (CHIEF FINANCIAL OFFICER)
(859) 258-4101
Entity
Organization

Contact information

Practice address
1002 S BROADWAY ST, GEORGETOWN, KY 40324-1463
(502) 868-0422
(502) 867-1967
Mailing address
PO BOX 11790, LEXINGTON, KY 40578-1790
(859) 258-6000
(859) 258-6123

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
332H00000X
Eyewear Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
77902674
KY
Enumeration date
09/11/2007
Last updated
08/14/2008
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