NPI 1245228204 · live from the CMS NPI Registry
Eye Physicians Of Elizabethtown Psc
Ophthalmology in Elizabethtown, KY. National Provider Identifier 1245228204, active.
NPI record
| NPI | 1245228204 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1109 Woodland Dr, Elizabethtown, KY 42701 |
| Practice phone | 270-765-6066 |
| Enumerated | October 12, 2005 |
| Last updated | June 13, 2016 |
| Authorized official | Vicky Woods, Billing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | — |
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.