Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Four Rivers Vision Therapy, PLLC

Organization Optometrist · NPI 1508255464

Four Rivers Vision Therapy, PLLC is an Optometrist in Paducah, Kentucky. Licensed in Kentucky. Registered with an NPI since 2015.

Licensed in
KY
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4570 Pecan Dr Ste C
Paducah, KY 42001-6717
Phone: (270) 558-4741
Fax: (270) 558-4742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1958DT (KY)

Record details

NPI number1508255464
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Canaan Montgomery — Owner · (270) 558-4741
NPI enumeratedJanuary 15, 2015
Last updated in NPPESJanuary 15, 2015
Mailing address4570 Pecan Dr, Suite C, Paducah, KY 42001-6717

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