| |
7085 Highway 64, Suite 2, Oakland, TN 38060-3366 | |
(901) 466-1333 | |
(901) 466-1333 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 7085 Highway 64, Oakland, Tennessee |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013062298 | NPI | - | NPPES |
4126391 | Other | TN | BLUE CROSS BLUE SHIELD |
4126391 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2443 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
7085 Highway 64, Suite 2, Oakland, TN 38060-3366 Ph: (901) 466-1333 | 7085 Highway 64, Suite 2, Oakland, TN 38060-3366 Ph: (901) 466-1333 |
Wesley Oneal Persell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7085 Highway 64 Ste 2, Oakland, TN 38060 Phone: 901-466-1333 Fax: 901-466-1333 |