Provider Demographics
NPI:1831304476
Name:BRETT A HINES OD PSC
Entity Type:Organization
Organization Name:BRETT A HINES OD PSC
Other - Org Name:FAMILY FOCUS EYECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:A
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:859-234-1424
Mailing Address - Street 1:2230 BYPASS RD
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-1282
Mailing Address - Country:US
Mailing Address - Phone:859-987-7077
Mailing Address - Fax:859-987-7064
Practice Address - Street 1:2230 BYPASS RD
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-1282
Practice Address - Country:US
Practice Address - Phone:859-987-7077
Practice Address - Fax:859-987-7064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty