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Irving Peck
Optician in Maysville, Kentucky
NPI 1063563104

Irving Peck is a Optician based in Maysville, KY and is specialized in Optician. Irving Peck practices in Maysville, KY. The NPI Number for Irving Peck is 1063563104 and holds a License No. 0396 (Kentucky).

The current practice location address for Irving Peck is 1937 Old Main St, Maysville, KY and can be reached out via phone at 606-759-7311. You can also correspond with Irving Peck through the mailing address at 1937 OLD MAIN ST, MAYSVILLE, KY - 41056 (mailing address contact number: 606-759-7311).

Location: 1937 Old Main St, Maysville, KY, 41056
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Provider Profile Details
NPI Number
1063563104
Provider Name
Irving Peck
Credential
Provider Entity Type
Individual
Gender
Male
Address
1937 Old Main St, Maysville, KY, 41056
Phone Number
606-759-7311
Fax Number
Provider Enumeration Date
01/16/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
52800976 05 KY
0559408 05 OH
52903960 05 KY
000000077313 01 KY BCBS
institution
Provider Business Practice Location Address Details
Address
1937 Old Main St
City
State
Zip
41056
Phone Number
606-759-7311
Fax Number
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Provider Business Mailing Address Details
Address
1937 Old Main St
City
State
Zip
41056
Phone Number
606-759-7311
Fax Number
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Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
0396 (Kentucky)
Definition
Definition to come...
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