Healthcare Provider Details

I. General information

NPI: 1336573658
Provider Name (Legal Business Name): VUE OPTIQUE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 07/01/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 MAIN ST
FRANKLIN TN
37064-2750
US

IV. Provider business mailing address

436 MAIN ST
FRANKLIN TN
37064-2750
US

V. Phone/Fax

Practice location:
  • Phone: 615-591-4191
  • Fax: 615-591-4569
Mailing address:
  • Phone: 615-591-4191
  • Fax: 615-591-4569

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTN1965
License Number StateTN

VIII. Authorized Official

Name: DR. DAVID JAMES SHEN
Title or Position: OWNER
Credential: O.D.
Phone: 615-591-4191