person
Jonathan N Stacy
Optician in Hazard, Kentucky
NPI 1750010054

Jonathan N Stacy is a Optician based in Hazard, KY and is specialized in Optician. Jonathan N Stacy practices in Hazard, KY. The NPI Number for Jonathan N Stacy is 1750010054 and holds a License No. 275909 (Kentucky).

The current practice location address for Jonathan N Stacy is 120 Daniel Boone Plz, Hazard, KY and can be reached out via phone at 606-487-0244 and via fax at 606-487-0279.

Location: 120 Daniel Boone Plz, Hazard, KY, 41701-5335
person
Provider Profile Details
NPI Number
1750010054
Provider Name
Jonathan N Stacy
Credential
Provider Entity Type
Individual
Gender
Male
Address
120 Daniel Boone Plz, Hazard, KY, 41701-5335
Phone Number
606-487-0244
Fax Number
606-487-0279
Provider Enumeration Date
06/10/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
120 Daniel Boone Plz
City
State
Zip
41701-5335
Phone Number
606-487-0244
Fax Number
606-487-0279
person
Provider Business Mailing Address Details
Address
120 Daniel Boone Plz
City
State
Zip
41701-5335
Phone Number
606-487-0244
Fax Number
606-487-0279
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
275909 (Kentucky)
Definition
Definition to come...
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