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NPI Code Detail

MEDICARE: MURRAY VISION CENTER LLC

MEDICARE: MURRAY VISION CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist1768DTKY
2152W00000XOptometrist1292DTKY

General Provider Information

NPI Number : 1659564706
Entity Type Code : Organization
Provider Name (Legal Business Name) : MURRAY VISION CENTER LLC
Provider Business Mailing Address
First Line : 106 N 6TH ST
Second Line :
City : MURRAY
State : KY
Zip : 42071-2015
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 106 N 6TH ST
Second Line :
City : MURRAY
State : KY
Zip : 42071-2015
Country : US
Telephone Number : 270-753-2842
Fax Number :
Authorized Official
Title or Position : OPTOMETRIST
Name : JAMES DAVID JACO
Credential : O.D.
Telephone Number : 270-753-2842
Provider Enumeration Date : 08/22/2007
Last Update Date : 03/10/2011

Similar Medicare Providers

1932173069 — DR. JAMES DAVID JACO O.D.
Practice Location Address:
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1558003566 — CHERISHE TABERS BS, EDU
Practice Location Address:
106 N 6TH ST
MURRAY, KY
42071-2015
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Practice Fax:
1801536669 — TAYLOR CROSS PA-C
Practice Location Address:
1683 E HERMITAGE CIR
MURRAY, UT
84121-2015
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Practice Fax:
1265964100 — JACQUELYN TAYLOR GILBERT MD
Practice Location Address:
300 S 8TH ST STE 208E
MURRAY, KY
42071-2472
Practice Phone: 270-759-9223
Practice Fax: 844-560-2472

Directions to “MURRAY VISION CENTER LLC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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