Southeastern Eye Care Clinic

LBN: Southeastern Eye Care Clinic
Southeastern Eye Care Clinic is an health care organization with primary practice located at 21937 Main St. , Hyden KY 41749. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Southeastern Eye Care Clinic can be contacted via phone (606) 672-2040, or through Holbrook, Carol Jo via phone (606) 672-2040.

Contact Information

Primary practice address
21937 Main St. Hyden KY 41749
Phone: (606) 672-2040
Fax: (606) 672-3937
Website:
Map and Directions
Authorized official contact:
Name: Holbrook, Carol Jo
Phone: (606) 672-2040

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0902DT Kentucky

Profile Details

NPI number 1851443394
LBN Legal business name Southeastern Eye Care Clinic
DBA Doing business as
Authorized official Holbrook, Carol Jo
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2007
Last updated Apr 2nd, 2008 - 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 1851443394 NPPES
Kentucky MEDICAID 77009025

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