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Organization
FAMILY EYECARE CENTER OF JOHNSON CITY, PLLC
Active
Organization
FAMILY EYECARE CENTER OF JOHNSON CITY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA A. GRIST O.D. (OWNER)
(423) 928-1010
Entity
Organization
Contact information
Practice address
1207 N ROAN ST, JOHNSON CITY, TN 37601-3974
(423) 928-1010
(423) 928-9090
Mailing address
1207 N ROAN ST, JOHNSON CITY, TN 37601-3974
(423) 928-1010
(423) 928-9090
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
—
—
152WV0400X
Vision Therapy Optometrist
—
—
Other
Enumeration date
01/22/2013
Last updated
05/03/2013
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