Family Eyehealth Center, Llc

LBN: Family Eyehealth Center, Llc
Family Eyehealth Center, Llc is an health care organization with primary practice located at 1824 Declaration Dr , Independence KY 41051-8196. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty. Family Eyehealth Center, Llc can be contacted via phone (859) 363-3347, or through Pennell, Craig S via phone (859) 363-3347.

Contact Information

Primary practice address
1824 Declaration Dr Independence KY 41051-8196
Phone: (859) 363-3347
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pennell, Craig S Doctor of Optometry (OD)
Phone: (859) 363-3347

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1168DT Kentucky
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 1168DT Kentucky

Profile Details

NPI number 1558485839
LBN Legal business name Family Eyehealth Center, Llc
DBA Doing business as
Authorized official Pennell, Craig S Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Sep 18th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558485839 NPPES
Kentucky MEDICAID 77903938

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