Healthcare Provider Details

I. General information

NPI: 1629190772
Provider Name (Legal Business Name): SOMERSET VISION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 E MT VERNON STREET
SOMERSET KY
42501
US

IV. Provider business mailing address

709 E MT VERNON STREET
SOMERSET KY
42501
US

V. Phone/Fax

Practice location:
  • Phone: 606-679-5177
  • Fax: 606-678-9200
Mailing address:
  • Phone: 606-679-5177
  • Fax: 606-678-9200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: HARVEY AUGUST SCHLETER
Title or Position: CO OWNER
Credential: OD
Phone: 606-679-5177