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1932 Alcoa Hwy., Ste. 255, Knoxville, TN 37920 | |
(865) 244-2030 | |
(865) 410-7292 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 1932 Alcoa Hwy., Ste. 255, Knoxville, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316916158 | NPI | - | NPPES |
CM8133 | Other | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Lauren Lindsey Harris |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295056943 PECOS PAC ID: 4981840410 Enrollment ID: I20140922000301 |
Mailing Address | Practice Location Address |
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1932 Alcoa Hwy., Ste. 255, Knoxville, TN 37920 Ph: (865) 244-2030 | 1932 Alcoa Hwy., Ste. 255, Knoxville, TN 37920 Ph: (865) 244-2030 |