Jonathan Stacy
NPI 1750010054 · on the registry since 2022 · sole proprietor
Practice
- Address
- 120 Daniel Boone Plz
Hazard, KY 41701 - Phone
- (606) 487-0244
- Fax
- (606) 487-0279
- Organisation at this address
- Taylormade Eyecare
Wal-Mart Stores East Lp
Wal-Mart Stores East, Lp
Southeast Vision Associates, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky