| Central Kentucky Optometric Associates Psc | |
|
310 W High St, Lebanon, KY 40033-1428 | |
| (270) 692-1871 | |
| (270) 692-6785 |
| Full Name | Central Kentucky Optometric Associates Psc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 310 W High St, Lebanon, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902843378 | NPI | - | NPPES |
| 1902843378 | Other | KY | RAILROAD MEDICARE |
| 77903391 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Kentucky) | Primary |
| Provider Name | John W Cecconi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487624029 PECOS PAC ID: 9830288653 Enrollment ID: I20100508000069 |
| Provider Name | Patricia Hollingsworth-cecconi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851396592 PECOS PAC ID: 6002810223 Enrollment ID: I20100508000123 |
| Provider Name | Paul G Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174593701 PECOS PAC ID: 0749379568 Enrollment ID: I20100618000132 |
| Mailing Address | Practice Location Address |
|---|---|
| Central Kentucky Optometric Associates Psc 310 W High St, Lebanon, KY 40033-1428 Ph: (270) 692-1871 | Central Kentucky Optometric Associates Psc 310 W High St, Lebanon, KY 40033-1428 Ph: (270) 692-1871 |
Dr. Paul G Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 | |
Amanda M Ballard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St, Ste400, Lebanon, KY 40033 Phone: 502-955-2020 Fax: 502-736-4490 | |
Clarkson Optometry Midwest Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 325 W Walnut St, Ste 400, Lebanon, KY 40033 Phone: 636-200-4393 | |
Jacqueline Powell, Optometrist Medicare: Medicare Enrolled Practice Location: 325 W Walnut St, Lebanon, KY 40033 Phone: 270-867-8200 Fax: 502-916-3010 | |
Dr. Patricia Mary Hollingsworth-cecconi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 |