Organization
SCK VISION CARE, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARROD MAYHEW O.D. (PRESIDENT)
(270) 678-4338
Entity
Organization
Contact information
Practice address
2345 HAPPY VALLEY RD, GLASGOW, KY 42141-8076
(270) 678-4338
Mailing address
2345 HAPPY VALLEY RD, GLASGOW, KY 42141-8076
(270) 678-4338
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1461DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77000495
—
KY
Enumeration date
04/24/2014
Last updated
04/24/2014
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