Mcclellan, Robert Lee

Mcclellan, Robert Lee is an individual health care provider with primary practice located at 115 S 5Th St , Bardstown KY 40004-1108. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mcclellan, Robert Lee can be contacted via phone (502) 348-5125.

Contact Information

Primary practice address
115 S 5Th St Bardstown KY 40004-1108
Phone: (502) 348-5125
Fax: (502) 348-2485
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 704DT Kentucky

Profile Details

NPI number 1265428940
LBN Legal business name Mcclellan, Robert Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Mar 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265428940 NPPES
Kentucky MEDICAID 77007045

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