Mcgeorge, Todd Marvin

Mcgeorge, Todd Marvin is an sole proprietor health care provider with primary practice located at 1431 Cumberland Ave , Middlesboro KY 40965-1117. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcgeorge, Todd Marvin can be contacted via phone (606) 248-7772.

Contact Information

Primary practice address
1431 Cumberland Ave Middlesboro KY 40965-1117
Phone: (606) 248-7772
Fax: (606) 248-0575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1298DT Kentucky

Profile Details

NPI number 1164402590
LBN Legal business name Mcgeorge, Todd Marvin
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Oct 12th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164402590 NPPES
Kentucky MEDICAID 77000107

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