Dr Nicole Roddy Maisonville, OD | |
2100 Clinch Ave Ste 400, Knoxville, TN 37916-2293 | |
(865) 521-7998 | |
(865) 521-7405 |
Full Name | Dr Nicole Roddy Maisonville |
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Gender | Female |
Speciality | Optometrist |
Location | 2100 Clinch Ave Ste 400, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215550439 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3610 (Tennessee) | Primary |
Provider Name | Knoxville Pediatric Ophthalmology, Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174831887 PECOS PAC ID: 9133301179 Enrollment ID: O20110311000191 |
Mailing Address | Practice Location Address |
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Dr Nicole Roddy Maisonville, OD 2100 Clinch Ave Ste 400, Knoxville, TN 37916-2293 Ph: (865) 521-7998 | Dr Nicole Roddy Maisonville, OD 2100 Clinch Ave Ste 400, Knoxville, TN 37916-2293 Ph: (865) 521-7998 |
Dr. Michael Harry Cho, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 9031 Cross Park Dr, Knoxville, TN 37923 Phone: 865-545-4592 Fax: 865-545-4488 | |
Dr. Lacey Dillard Puckett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3001 Knoxville Center Dr, Suite 2294, Knoxville, TN 37924 Phone: 865-544-1677 Fax: 865-525-3467 | |
Dr. Max E Zolman, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6777 Clinton Hwy, Knoxville, TN 37912 Phone: 865-938-6769 | |
Gregory S Everett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1124 E Weisgarber Rd, Knoxville, TN 37909 Phone: 865-584-0905 Fax: 865-584-3892 | |
Frank A Carusone, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 715 Callahan Dr, Knoxville, TN 37912 Phone: 865-687-1232 Fax: 865-687-8256 | |
Joseph T Manning, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11124 Kingston Pike, Suite 127, Knoxville, TN 37934 Phone: 865-966-2020 Fax: 865-966-7332 | |
David Hunter Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9409 S Northshore Dr, Suite 101, Knoxville, TN 37922 Phone: 865-694-2622 Fax: 865-694-2650 |