Healthcare Provider Details

I. General information

NPI: 1871736876
Provider Name (Legal Business Name): BB EYECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 04/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

549 VALLEY HILL LN
KNOXVILLE TN
37922-8305
US

IV. Provider business mailing address

PO BOX 7756
ROCKY MOUNT NC
27804-0756
US

V. Phone/Fax

Practice location:
  • Phone: 865-771-3018
  • Fax:
Mailing address:
  • Phone: 252-985-1371
  • Fax: 252-467-2339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: THERESA BEST
Title or Position: OWNER
Credential: OD
Phone: 252-985-1371