Organization
SAGE PEAK EYE CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAE WILSON OD (OWNER)
(270) 651-6652
Entity
Organization
Contact information
Practice address
1407 N RACE ST, GLASGOW, KY 42141-3490
(270) 651-6652
Mailing address
1407 N RACE ST, GLASGOW, KY 42141-3490
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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