NPI 1164568028

Corbin Optical Co INC

Organisation Eyewear Supplier Corbin, KY

Practice location

Address: 107 Kentucky Street, Corbin, KY 40701
Phone: (606) 528-2833
Fax: (606) 528-2862
Mailing address: PO Box 420 107 N. Kentucky Ave., Corbin, KY 40702-0420

Authorised official

Name: Larry Thomas Tate
Title: President Corbin Optical
Phone: (606) 528-2833

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 567 (KY)

Other Eyewear Supplier providers in Kentucky →

Registry record

NPI: 1164568028
Entity type: Organization
NPI issued: 29 Jan 2007
Record last updated: 17 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.