| |
1543 Highway 411, Vonore, TN 37885-2449 | |
(423) 884-2500 | |
(423) 884-6015 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1543 Highway 411, Vonore, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194812735 | NPI | - | NPPES |
3943859 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Tennessee) | Primary |
Mailing Address | Practice Location Address |
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1543 Highway 411, P.o. Box 248, Vonore, TN 37885-2449 Ph: (423) 884-2500 | 1543 Highway 411, Vonore, TN 37885-2449 Ph: (423) 884-2500 |