Owensboro Family Eye Care Center Psc

LBN: Owensboro Family Eye Care Center Psc
Owensboro Family Eye Care Center Psc is an health care organization with primary practice located at 3310 Professional Park Dr. Suite 101, Owensboro KY 42303-4551. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Owensboro Family Eye Care Center Psc can be contacted via phone (270) 683-2101, or through Traylor, Marty Shane via phone (270) 683-2101.

Contact Information

Primary practice address
3310 Professional Park Dr. Suite 101 Owensboro KY 42303-4551
Phone: (270) 683-2101
Fax: (270) 683-2507
Website:
Map and Directions
Authorized official contact:
Name: Traylor, Marty Shane Doctor of Optometry (OD)
Phone: (270) 683-2101

Health care specialties

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

Profile Details

NPI number 1184683609
LBN Legal business name Owensboro Family Eye Care Center Psc
DBA Doing business as
Authorized official Traylor, Marty Shane Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Oct 15th, 2013 - about 11 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 1184683609 NPPES
Kentucky MEDICAID 77903599

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