Organization
MACKEY VISION CENTER PSC
Active
Organization
MACKEY VISION CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN L MACKEY M.D. (PRESIDENT)
(606) 528-1143
Entity
Organization
Contact information
Practice address
281 N. COMMONWEALTH AVE., CORBIN, KY 40702
(606) 528-1143
(606) 523-1145
Mailing address
PO BOX 880, CORBIN, KY 40702-0880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
37261
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64052327
—
KY
05
—
77007128
—
KY
Enumeration date
12/13/2007
Last updated
04/08/2009
Update your record
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