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NPI Code Detail

MEDICARE: TN DOCTORS OF OPTOMETRY, PLLC

MEDICARE: TN DOCTORS OF OPTOMETRY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332H00000XEyewear Supplier

General Provider Information

NPI Number : 1437815651
Entity Type Code : Organization
Provider Name (Legal Business Name) : TN DOCTORS OF OPTOMETRY, PLLC
Provider Business Mailing Address
First Line : 175 E HOUSTON STREET
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78205-2255
Country : US
Telephone Number : 800-340-0129
Fax Number : 210-524-6587
Provider Business Practice Location Address
First Line : 5307 HIGHWAY 153
Second Line : SUITE 101
City : HIXSON
State : TN
Zip : 37343-4912
Country : US
Telephone Number : 423-877-3309
Fax Number : 423-877-3310
Authorized Official
Title or Position : MANAGER
Name : DOLSIE MCDONALD
Credential :
Telephone Number : 726-444-4078
Provider Enumeration Date : 11/11/2021
Last Update Date : 02/08/2022

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Directions to “TN DOCTORS OF OPTOMETRY, PLLC ” Practice Location

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