Eyecare Center, Llc

NPI 1003082058 - Optometrist - 152W00000X

NPI Details
NPI 1003082058
Enumeration Date 04/30/2008
Last Updated 11/20/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RUSSELL MOSS RUSSELL
Position OPTOMETRIST
Phone (731) 587-3555
Fax (731) 587-9003
Practice Location
107 KENNEDY DR
MARTIN TN, 38237-3309, US
Phone (731) 587-3555
Fax (731) 587-9003
Business Location
107 KENNEDY DR
MARTIN TN, 38237-3309, US
Phone (731) 587-3555
Fax (731) 587-9003
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
Remove 1003082058 NPI Number
 

According to our database, Eyecare Center, Llc NPI is 1003082058, taxonomy code is 152W00000X Eyecare Center, Llc physically located at 107 Kennedy Dr, Martin TN, 38237-3309. NPI Number 1033115704 has the healthcare provider type.

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1003082058 NPI number is provided on an as is basis without warranty of any kind. 1003082058 is maintained by the National Plan & Provider Enumeration System. The contents of Eyecare Center, Llc are for informational purposes only.