Blountville Family Eyecare | |
2554 Highway 394, Blountville, TN 37617 | |
(423) 323-3799 | |
(423) 323-3752 |
Full Name | Blountville Family Eyecare |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2554 Highway 394, Blountville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497279442 | NPI | - | NPPES |
4087308 | Other | TN | BLUE CROSS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2336 (Tennessee) | Primary |
Provider Name | Mark A Bowers |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356438915 PECOS PAC ID: 6305812579 Enrollment ID: I20040908001462 |
Provider Name | Tara M Pigeon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750452215 PECOS PAC ID: 2961460175 Enrollment ID: I20041220000924 |
Provider Name | Jacob R Bowen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639659949 PECOS PAC ID: 6002167053 Enrollment ID: I20210726000212 |
Mailing Address | Practice Location Address |
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Blountville Family Eyecare 2554 Highway 394, Blountville, TN 37617-4133 Ph: (423) 323-3799 | Blountville Family Eyecare 2554 Highway 394, Blountville, TN 37617 Ph: (423) 323-3799 |
Mark A Bowers, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2554 Highway 394, Blountville, TN 37617 Phone: 423-323-3799 Fax: 423-323-3752 | |
Tara Pigeon, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2554 Highway 394, Blountville, TN 37617 Phone: 423-323-3799 Fax: 423-323-3752 |