Jonathan N Stacy
Jonathan N Stacy is an Optician in Hazard, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2022
Practice location Address checks out
120 Daniel Boone PlzHazard, KY 41701-5335
Phone: (606) 487-0244
Fax: (606) 487-0279
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 275909 (KY) |
|---|
Record details
| NPI number | 1750010054 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2022 |
| Last updated in NPPES | June 10, 2022 |
| Certification date | June 10, 2022 |
| Mailing address | 120 Daniel Boone Plz, Hazard, KY 41701-5335 |
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