Healthcare Provider Details

I. General information

NPI: 1285689166
Provider Name (Legal Business Name): EYE HEALTH SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 PARKERS MILL WAY
SOMERSET KY
42503-4151
US

IV. Provider business mailing address

2835 S HIGHWAY 27 STE 196
SOMERSET KY
42501-3042
US

V. Phone/Fax

Practice location:
  • Phone: 606-677-0377
  • Fax: 606-677-6542
Mailing address:
  • Phone: 606-677-0377
  • Fax: 606-677-6542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WV0400X
TaxonomyVision Therapy Optometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. TAMELA MARIE BROWN-MURRAY
Title or Position: OWNER/OPTOMETRIST
Credential: O. D.
Phone: 606-677-0377