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Organization

EYE ASSOCIATES OF SOUTHERN INDIANA PC

Active
Other names
Frankfort Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTOPHER PUGH MD (OWNER MD)
(812) 284-0660
Entity
Organization

Contact information

Practice address
643 COMANCHE TRAIL, FRANKFORT, KY 40601-1753
(502) 227-4508
(502) 226-3315
Mailing address
302 W 14TH ST STE 100A, JEFFERSONVILLE, IN 47130-3751
(812) 280-2162
(812) 284-3822

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1520DT
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000280798
ANTHEM
KY
05
77000420
KY
01
P00021169
RAILROAD MEDICARE
KY
Enumeration date
03/09/2007
Last updated
09/25/2018
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