| Eyecare Center Of Princeton Pllc | |
|
101 E Shepardson St, Princeton, KY 42445-1633 | |
| (270) 365-6627 | |
| (270) 365-7700 |
| Full Name | Eyecare Center Of Princeton Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 E Shepardson St, Princeton, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790897924 | NPI | - | NPPES |
| 7100384690 | Medicaid | KY | |
| 933 DT | Other | KY | KY LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 933 DT (Kentucky) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Center Of Princeton Pllc Po Box 683, Princeton, KY 42445-0683 Ph: (270) 365-6627 | Eyecare Center Of Princeton Pllc 101 E Shepardson St, Princeton, KY 42445-1633 Ph: (270) 365-6627 |
Dr. Daniel A Talley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 E Shepardson St, Princeton, KY 42445 Phone: 270-365-6627 Fax: 270-365-7700 | |
J Martin Lane Eyecare Center Optometrist Medicare: Medicare Enrolled Practice Location: 101 E Shepardson St, Princeton, KY 42445 Phone: 270-365-6627 Fax: 270-365-7700 | |
Dr. Sarah C Parker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 E Shepardson St, Princeton, KY 42445 Phone: 270-365-6627 Fax: 270-365-7700 |