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NPI Code Detail

MEDICARE: HORNER RAUSCH OPTICAL CO. EAST

MEDICARE: HORNER RAUSCH OPTICAL CO. EAST
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
1156FX1800XOptician352TN

General Provider Information

NPI Number : 1306966692
Entity Type Code : Organization
Provider Name (Legal Business Name) : HORNER RAUSCH OPTICAL CO. EAST
Provider Business Mailing Address
First Line : 968 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-226-0251
Fax Number : 615-226-8527
Provider Business Practice Location Address
First Line : 968 MAIN ST
Second Line :
City : NASHVILLE
State : TN
Zip : 37206-3614
Country : US
Telephone Number : 615-226-0251
Fax Number : 615-226-8527
Authorized Official
Title or Position : OWNER
Name : MRS. GLENNA B. FENN
Credential : D.P.O.
Telephone Number : 615-226-0251
Provider Enumeration Date : 03/30/2007
Last Update Date : 12/07/2007

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Directions to “HORNER RAUSCH OPTICAL CO. EAST ” Practice Location

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