The Optical Shoppe Pllc | |
23 N Lowry St, Smyrna, TN 37167-2525 | |
(615) 459-0675 | |
(615) 459-6401 |
Full Name | The Optical Shoppe Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 23 N Lowry St, Smyrna, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497190581 | NPI | - | NPPES |
0071007 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODT941 (Tennessee) | Primary |
Provider Name | Paul Douglas Trapeni |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376605303 PECOS PAC ID: 9638233752 Enrollment ID: I20090203000737 |
Provider Name | Emily Ann Burgon |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255776506 PECOS PAC ID: 8224250675 Enrollment ID: I20190110001715 |
Mailing Address | Practice Location Address |
---|---|
The Optical Shoppe Pllc 23 N Lowry St, Smyrna, TN 37167-2525 Ph: (615) 459-0675 | The Optical Shoppe Pllc 23 N Lowry St, Smyrna, TN 37167-2525 Ph: (615) 459-0675 |
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