| Central Kentucky Family Vision Pllc | |
|
502 E Main St, Stanford, KY 40484-1343 | |
| (859) 279-1994 | |
| Not Available |
| Full Name | Central Kentucky Family Vision Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 502 E Main St, Stanford, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528831542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Tanner Leigh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063081032 PECOS PAC ID: 5698176493 Enrollment ID: I20210630003593 |
| Mailing Address | Practice Location Address |
|---|---|
| Central Kentucky Family Vision Pllc 502 E Main St, Stanford, KY 40484-1343 Ph: (859) 279-1994 | Central Kentucky Family Vision Pllc 502 E Main St, Stanford, KY 40484-1343 Ph: (859) 279-1994 |
Dr. Tanner Brickey Leigh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 E Main St, Stanford, KY 40484 Phone: 859-279-1994 | |
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