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General NPI Number Information
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NPI Number | 1366480964
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Entity Type | Organization
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Legal Business Name | DR. TORREY J. CARLSON & ASSOCIATES
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 2600 E STONE DR STE 10
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City | KINGSPORT
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State | TN
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Zip | 37660-5919
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Country | US
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Telephone | 865-217-1010
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Fax | 423-522-2190
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Provider Business Mailing Address
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Address Line | 2600 E STONE DR STE 10
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City | KINGSPORT
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State | TN
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Zip | 37660-5919
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Country | US
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Telephone | 865-217-1010
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Fax | 423-522-2190
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TORREY JON CARLSON
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Credential | O.D.
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Telephone | 423-292-6312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1695
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License Number State | TN
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