| |
1042 E Tri County Blvd, Oliver Springs, TN 37840-6205 | |
(865) 435-1513 | |
(865) 730-6005 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 1042 E Tri County Blvd, Oliver Springs, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891390605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Mary Nethaway Chase |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487140232 PECOS PAC ID: 5890039556 Enrollment ID: I20181206001290 |
Mailing Address | Practice Location Address |
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1042 E Tri County Blvd, Oliver Springs, TN 37840-6205 Ph: (865) 435-1513 | 1042 E Tri County Blvd, Oliver Springs, TN 37840-6205 Ph: (865) 435-1513 |