Mountain Optical, Llc in Middlesboro - Eyewear Supplier
Mountain Optical, Llc - NPI 1669661690
Mountain Optical, Llc is a Eyewear Supplier in Middlesboro, Kentucky. Mountain Optical, Llc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Mountain Optical, Llc is 1669661690. The last update date is 2015-09-02.
Mountain Optical, Llc's current location address is 2145 Us Highway 25 E, Middlesboro, Kentucky. You can contact this provider via phone number 6062486030 and fax number 6062480014. The mailing address for Mountain Optical, Llc is 2145 Us Highway 25 E, Middlesboro, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mountain Optical, Llc |
|---|---|
| Address | 2145 Us Highway 25 E, Middlesboro, Kentucky |
| Phone Number | 6062486030 |
| Fax Number | 6062480014 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Keck Sue Katherine |
| Credentials | OPTICIAN |
| Telephone Number | 6062486030 |
NPI Number Detail
| NPI Number | 1669661690 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2015-09-02 |
Provider Mailing Address Detail
| Address | 2145 Us Highway 25 E |
|---|---|
| City | Middlesboro |
| State | Kentucky (KY) |
| Post Code | 409651874 |
| Phone Number | 6062486030 |
| Fax Number | 6062480014 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
| Licence No | 478 |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 72724 | KY | BCBS | |
| 52904786 | KY | -- | |
| KY0478 | KY | EYEMED |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mountain Optical, Llc by the Centers for Medicare & Medicaid Services?
The Mountain Optical, Llc has been assigned the NPI (National Provider Identifier) 1669661690 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Mountain Optical, Llc is physically located?
The Mountain Optical, Llc is situated at the following address: 2145 Us Highway 25 E, Middlesboro, KY 409651874.
What is Mountain Optical, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mountain Optical, Llc's area of specialization is Eyewear Supplier, and the corresponding taxonomy code that categorizes this field of practice is 332H00000X.
On what date did the Mountain Optical, Llc receive its 1669661690 assignment from the Centers for Medicare & Medicaid Services?
The Mountain Optical, Llc was assigned its 1669661690 by the Centers for Medicare & Medicaid Services on 2007-10-16.
As of what date were the Mountain Optical, Llc's details last updated?
The information pertaining to the Mountain Optical, Llc, including its address, specialty, and other details, was most recently updated on 2015-09-02.
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