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Organization (NPI-2) Active

Eyewear Supplier (Equipment, not the service)

Provider Information

NPI Number
1508986167
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
201 PARK ST, BOWLING GREEN, KY, 421011759
Phone
(270) 780-0594
Fax
(270) 783-3361

Specialties & Taxonomies

Technician/Technologist, Ophthalmic License: KY #E82360
Eyewear Supplier (Equipment, not the service) Primary License: KY #102090

All Addresses

MAILING

201 PARK ST

BOWLING GREEN, KY, 421011759

(270) 780-0594

LOCATION

201 PARK ST

BOWLING GREEN, KY, 421011759

(270) 780-0594