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General NPI Number Information
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NPI Number | 1801088158
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Entity Type | Organization
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Legal Business Name | GREER FAMILY EYECARE
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Dates
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Enumeration Date | 08/10/2007
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 127 E DIVISION RD
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City | OAK RIDGE
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State | TN
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Zip | 37831-0587
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Country | US
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Telephone | 865-483-6338
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Fax | 865-482-5851
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Provider Business Mailing Address
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Address Line | 127 E DIVISION RD
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City | OAK RIDGE
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State | TN
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Zip | 37831-0587
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Country | US
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Telephone | 865-483-6338
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Fax | 865-482-5851
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARK A GREER
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Credential | OD
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Telephone | 865-483-6338
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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 | 1174
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License Number State | TN
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