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

Gregory Elliott, ABOC, NCLEC

Individual provider Optician · NPI 1407586209

Gregory Elliott, ABOC, NCLEC is an Optician in South Williamson, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2022

Practice location Address checks out

28402 US Highway 119
South Williamson, KY 41503-3924
Phone: (606) 237-0175
Fax: (606) 237-6296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 163366 (KY)

Record details

NPI number1407586209
Entity typeIndividual (Type 1)
GenderMale
Credentials ABOC , NCLEC
Sole proprietorYes
NPI enumeratedJune 14, 2022
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022
Mailing address28402 Us Highway 119, South Williamson, KY 41503-3924

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