Provider Demographics
NPI:1518269075
Name:PHYSICIANS EYE CENTER
Entity Type:Organization
Organization Name:PHYSICIANS EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:LATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-926-3297
Mailing Address - Street 1:2845 FARRELL CRES
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1393
Mailing Address - Country:US
Mailing Address - Phone:270-926-7325
Mailing Address - Fax:270-926-7325
Practice Address - Street 1:1125 PROFESSIONAL BLVD
Practice Address - Street 2:ST MARYS SURGICARE
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47714
Practice Address - Country:US
Practice Address - Phone:270-926-7325
Practice Address - Fax:270-926-7325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-03
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty