| NPI | 1659998524 |
|---|---|
| Doing Business As | PCD MANAGEMENT OF PADUCAH |
| Former Legal Business Name | SUCCESS VISION EYECARE OF PADUCAH, LLC |
| Entity Type | Organization |
| Authorized Contact | CALEB TANCK Credentialing Agent 539-476-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2025-10-22 |