Healthcare Provider Details

I. General information

NPI: 1003907726
Provider Name (Legal Business Name): LAMBERT EYECARE ASSOCIATES PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 07/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28531 US HIGHWAY 119
SOUTH WILLIAMSON KY
41503-3928
US

IV. Provider business mailing address

PO BOX 169
FOREST HILLS KY
41527-0169
US

V. Phone/Fax

Practice location:
  • Phone: 606-237-7196
  • Fax: 606-237-7205
Mailing address:
  • Phone: 606-237-7196
  • Fax: 606-237-7205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DON HENRY LAMBERT
Title or Position: PRESIDENT
Credential: O.D.
Phone: 606-237-7196