Monty S. Riley O.D.

NPI 1023153368 - Optometrist - 152W00000X

NPI Details
NPI 1023153368
Gender Male
Enumeration Date 02/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
314 NORTHGATE MALL
CHATTANOOGA TN, 37415-6922, US
Phone (423) 875-3060
Fax
Business Location
3217 ALTA VISTA DR.
CHATTANOOGA SD, 37411, US
Phone (423) 875-3060
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Tennessee
License Number T1416
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According to our database, Dr. Monty S. Riley O.D. NPI is 1023153368, taxonomy code is 152W00000X and license number is T1416, license state is located at Tennessee. Monty S. Riley O.D. physically located at 314 Northgate Mall, Chattanooga TN, 37415-6922. NPI Number Monty S. Riley O.D. has the Individual type.

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1023153368 NPI number is provided on an as is basis without warranty of any kind. 1023153368 is maintained by the National Plan & Provider Enumeration System. The contents of Monty S. Riley O.D. are for informational purposes only.