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NPI Code Detail

MEDICARE: MRS. LAUREN JOY STONE OD

MEDICARE:  MRS. LAUREN JOY STONE  OD
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
1152W00000XOptometristODT2937TN
2152W00000XOptometristOD2937TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2103I416027OTHERTNMEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326353475
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN JOY STONE OD
Provider Business Mailing Address
First Line : 1124 E WEISGARBER RD STE 104
Second Line :
City : KNOXVILLE
State : TN
Zip : 37909-2686
Country : US
Telephone Number : 865-584-0905
Fax Number : 865-584-3892
Provider Business Practice Location Address
First Line : 4829 N BROADWAY ST STE 103
Second Line :
City : KNOXVILLE
State : TN
Zip : 37918
Country : US
Telephone Number : 865-851-8558
Fax Number : 865-500-8153
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2010
Last Update Date : 03/07/2023

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Directions to “ MRS. LAUREN JOY STONE OD” Practice Location

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