Craig S Pennell in Independence - Optometrist
Craig S Pennell - NPI 1841351228
Craig S Pennell is a Optometrist in Independence, Kentucky. Craig S Pennell practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Craig S Pennell is 1841351228. The last update date is 2013-10-14.
Craig S Pennell's current location address is 1824 Declaration Dr, Independence, Kentucky. You can contact this provider via phone number 8593633347. The mailing address for Craig S Pennell is 1824 Declaration Dr, Independence, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig S Pennell |
|---|---|
| Address | 1824 Declaration Dr, Independence, Kentucky |
| Phone Number | 8593633347 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1841351228 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2013-10-14 |
Provider Mailing Address Detail
| Address | 1824 Declaration Dr |
|---|---|
| City | Independence |
| State | Kentucky (KY) |
| Post Code | 410518196 |
| Phone Number | 8593633347 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1168DT |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 966101 | KY | MEDICARE ID | |
| 77011682 | KY | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Craig S Pennell?
The Craig S Pennell has been issued the NPI (National Provider Identifier) 1841351228 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Craig S Pennell located?
The Craig S Pennell is located at 1824 Declaration Dr, Independence, KY 410518196.
What is Craig S Pennell's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Craig S Pennell's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date was the 1841351228 assigned to Craig S Pennell?
The Craig S Pennell was issued its 1841351228 on 2006-12-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Craig S Pennell's details last updated?
The information pertaining to the Craig S Pennell, including its address, specialty, and other details, was most recently updated on 2013-10-14.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY