MEDICARE: PRESSON EYE CARE, PLLC

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
1	152W00000X	Optometrist

Other Identifiers

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

General Provider Information

NPI Number	:	1962673889
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRESSON EYE CARE, PLLC

Provider Business Mailing Address
First Line	:	7660 OAK RIDGE HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3335
Country	:	US
Telephone Number	:	865-247-7715
Fax Number	:	865-247-7716

Provider Business Practice Location Address
First Line	:	7660 OAK RIDGE HWY
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37931-3335
Country	:	US
Telephone Number	:	865-247-7715
Fax Number	:	865-247-7716

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. ALAN SHANE PRESSON
Credential	:	O.D.
Telephone Number	:	865-247-5419

Provider Enumeration Date	:	03/19/2008
Last Update Date	:	03/12/2009

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