Mackey Vision Center Psc

LBN: Mackey Vision Center Psc
Mackey Vision Center Psc is an health care organization with primary practice located at 281 N. Commonwealth Ave. , Corbin KY 40702. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Mackey Vision Center Psc can be contacted via phone (606) 528-1143, or through Mackey, Benjamin L via phone (606) 528-1143.

Contact Information

Primary practice address
281 N. Commonwealth Ave. Corbin KY 40702
Fax: (606) 523-1145
Website:
Authorized official contact:
Name: Mackey, Benjamin L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 37261 Kentucky

Profile Details

NPI number 1881877785
LBN Legal business name Mackey Vision Center Psc
DBA Doing business as
Authorized official Mackey, Benjamin L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2007
Last updated Apr 8th, 2009 - about 16 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 1881877785 NPPES
Kentucky MEDICAID 64052327
Kentucky MEDICAID 77007128

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